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Individual

ANDIVI MANZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
10515 BALBOA BLVD STE 140, GRANADA HILLS, CA 91344-6350
(818) 363-0339
(818) 363-0039
Mailing address
10515 BALBOA BLVD STE 140, GRANADA HILLS, CA 91344-6350
(818) 363-0339
(818) 363-0039

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
303204
CA

Other

Enumeration date
11/10/2022
Last updated
09/22/2023
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