Individual
SUSEJED ANN MANANQUIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 N 27TH ST, FORT DODGE, IA 50501-4331
(515) 955-6922
Mailing address
22 N 27TH ST, FORT DODGE, IA 50501-4331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
004471
IA
Other
Enumeration date
02/02/2010
Last updated
08/23/2024
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