Individual
MANASI SHIDHAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 WILLIAMS DR, GEORGETOWN, TX 78628-2491
(512) 868-2700
Mailing address
9013 LOCKLEVEN LOOP, AUSTIN, TX 78750-3441
(512) 589-0083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2118510
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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