Individual
CHRISTINE M MANYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
385 SOUTHBRIDGE ST, AUBURN, MA 01501-2498
(508) 721-1101
(508) 721-1102
Mailing address
5 NEPONSET ST FL ST2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 721-1102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7467
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0318957
MEDICAID WELFARE
—
05
—
0318957
—
MA
01
—
042472266
HEALTHCARE VALUE MANAGEME
—
01
—
2779432
CIGNA HEALTH PLAN
—
01
—
2779432001
CIGNA PAL ID
—
01
—
35481155
CIGNA HEALTHSOURCE
—
01
—
43208
FALLON COMMUNITY HEALTH
—
01
—
45959
CHILDRENS MEDICAL SECURIT
—
01
—
650017413
RAILROAD MEDICARE
—
01
—
7038566
AETNA US HEALTHCARE
—
01
—
785958
MVP HEALTH CARE
—
01
—
A052A
HARVARD PILGRIM HEALTHCAR
—
01
—
Y67940
BLUE SHIELD HMO BLUE
—
01
—
Y68460
MEDICARE B
—
Enumeration date
01/10/2006
Last updated
03/25/2019
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