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Individual
MR. ROBBY XAVIER MANATT
Active
Individual
MR. ROBBY XAVIER MANATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14394752
CAQH
—
Enumeration date
01/22/2019
Last updated
01/15/2021
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