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Individual

DANILO MANANSALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
2007008282
MO
225100000X
Physical Therapist
Primary
1316343
TX

Other

Enumeration date
12/22/2009
Last updated
07/08/2025
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