Harold Manansala, | |
7001 Bothwell Rd, Reseda, CA 91335-3612 | |
(818) 609-0682 | |
Not Available |
Full Name | Harold Manansala |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7001 Bothwell Rd, Reseda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821751439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 28626 (California) | Primary |
Provider Name | New Life Physical Therapy Services Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
Mailing Address | Practice Location Address |
---|---|
Harold Manansala, 7001 Bothwell Rd, Reseda, CA 91335-3612 Ph: (818) 609-0682 | Harold Manansala, 7001 Bothwell Rd, Reseda, CA 91335-3612 Ph: (818) 609-0682 |
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