Individual
MR. KIRBY MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 HAZLE TOWNSHIP BLVD # 403, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
Mailing address
401 HAZLE TOWNSHIP BLVD # 403, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP0009383
PA
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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