Individual
EDWIN LUSUNG MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
203 DOVERWOOD RD, FERN PARK, FL 32730-3022
(407) 331-4435
Mailing address
203 DOVERWOOD RD, FERN PARK, FL 32730-3022
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT6738
FL
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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