Individual
ISABEL RENEE MANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
933 3 MILE RD NW STE 204, GRAND RAPIDS, MI 49544-1673
(616) 577-8250
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304047
MI
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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