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Individual
POONAM VASANT MANKAR
Active
Individual
POONAM VASANT MANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT5755
NM
225100000X
Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1329460
PHYSICAL THERAPY LICENSE
TX
01
—
PT5755
PHYSICAL THERAPIST STATE LICENSE
NM
Enumeration date
08/31/2020
Last updated
04/25/2025
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