Individual
MICHAEL EMMAN UGOY MANANSALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
330 N HAYWORTH AVE, LOS ANGELES, CA 90048-2702
(323) 852-9200
Mailing address
14643 MOODY ST, PANORAMA CITY, CA 91402-1010
(818) 633-6109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49945
CA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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