Individual
MISS ABOLI MANOHAR YENKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9211 STUART LN, CLINTON, MD 20735-2712
(909) 674-6160
Mailing address
9211 STUART LN, CLINTON, MD 20735-2712
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
26963
MD
225100000X
Physical Therapist
Primary
2305215349
VA
225100000X
Physical Therapist
PT872636
DC
Other
Enumeration date
09/17/2018
Last updated
11/17/2022
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