Individual
MR. GREG DAVID MCMANUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
511 E 20TH ST, FARMINGTON, NM 87401-2105
(505) 326-0064
(505) 327-3995
Mailing address
4104 ABBEY RD, FARMINGTON, NM 87402-5151
(505) 716-8747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2823
NM
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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