Individual
KATHLEEN MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Mailing address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7922
AZ
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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