Frederick Manzano

NPI 1669653564 - Physical Therapist - 225100000X

NPI Details
NPI 1669653564
Gender Male
Enumeration Date 11/19/2007
Last Updated 11/19/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1952 E 7000 S STE 100
SALT LAKE CITY UT, 84121-6878, US
Phone (801) 942-3311
Fax (801) 942-5955
Business Location
PO BOX 711185
SALT LAKE CITY UT, 84171-1185, US
Phone (801) 942-3311
Fax (801) 942-5955
Taxonomy Code 225100000X
License State California
License Number 28959
Remove 1669653564 NPI Number

According to our database, Frederick Manzano NPI is 1669653564, taxonomy code is 225100000X and license number is 28959, license state is located at California. Frederick Manzano physically located at 1952 E 7000 S Ste 100, Salt Lake City UT, 84121-6878. NPI Number Frederick Manzano has the Individual type.

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1669653564 NPI number is provided on an as is basis without warranty of any kind. 1669653564 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Manzano are for informational purposes only.