Individual
ALISA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
2030 SUTTER PL, SUITE 1000, DAVIS, CA 95616-6212
(530) 750-5904
(530) 750-5905
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18465
CA
Other
Enumeration date
11/25/2016
Last updated
01/20/2017
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