Individual
ERIC MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 529-3060
Mailing address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 529-3060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070007573
IL
Other
Enumeration date
09/21/2008
Last updated
09/17/2014
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