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Individual
JOSHUA MANNIGAN
Active
Individual
JOSHUA MANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110852
—
NY
Enumeration date
10/21/2010
Last updated
02/03/2020
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