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Individual

ROY N MANRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(925) 202-4124
Mailing address
4439 MORSE CT, NAPA, CA 94558-1752
(925) 202-4124

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49426
CA

Other

Enumeration date
07/30/2018
Last updated
07/30/2018
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