Mr Frederick Rosas Manalo, PT | |
402 S John Redditt Dr, Lufkin, TX 75904-3108 | |
(936) 632-2107 | |
(936) 632-2108 |
Full Name | Mr Frederick Rosas Manalo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 402 S John Redditt Dr, Lufkin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437431681 | NPI | - | NPPES |
1204300 | Other | TX | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1204300 (Texas) | Primary |
Provider Name | Proactive Physical Therapy Centers, Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851454326 PECOS PAC ID: 8022926492 Enrollment ID: O20060202000940 |
Provider Name | Baylor College Of Medicine |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
Mailing Address | Practice Location Address |
---|---|
Mr Frederick Rosas Manalo, PT 402 S John Redditt Dr, Lufkin, TX 75904-3108 Ph: (936) 632-2107 | Mr Frederick Rosas Manalo, PT 402 S John Redditt Dr, Lufkin, TX 75904-3108 Ph: (936) 632-2107 |
Shane Adam Myatt, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-2107 Fax: 936-632-2108 | |
Melanie Morgan Sanders, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-3346 | |
Jami Ann Cooper, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 N John Redditt Dr Ste 1, Lufkin, TX 75904 Phone: 936-899-5325 | |
Rey Angelo Bibera, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-2107 | |
Maria Victoria Cabrera Opilas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 N John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-2107 Fax: 936-632-2108 | |
Virginia B Spore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1302 Tom Temple Dr, Lufkin, TX 75904 Phone: 936-634-0490 | |
Gary Mcgiven, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1302 Tom Temple Dr, Lufkin, TX 75904 Phone: 936-634-0490 |