NPI 1275936536

Kathleen Manzano

Practitioner Physical Therapy Assistant Avondale, AZ

Practice location

Address: 350 E La Canada Blvd, Avondale, AZ 85323-1643
Phone: (623) 932-2282

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7922 (AZ)

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Registry record

NPI: 1275936536
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2014
Record last updated: 1 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.