Abner Mantoo, PHYSICAL THERAPIST | |
51238 Kendallwood Dr, Granger, IN 46530-4705 | |
(407) 273-6837 | |
Not Available |
Full Name | Abner Mantoo |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 51238 Kendallwood Dr, Granger, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336530757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05009772A (Indiana) | Primary |
225100000X | Physical Therapist | 5501013459 (Michigan) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Creative Health Care Management Llc | 4385929892 | 100 |
Provider Name | Creative Health Care Management Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
Mailing Address | Practice Location Address |
---|---|
Abner Mantoo, PHYSICAL THERAPIST 51238 Kendallwood Dr, Granger, IN 46530-4705 Ph: () - | Abner Mantoo, PHYSICAL THERAPIST 51238 Kendallwood Dr, Granger, IN 46530-4705 Ph: (407) 273-6837 |
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