Individual
MANI MURUGESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, PA-C
Contact information
Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
Mailing address
4600 S MILL AVE #280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10679
AZ
225100000X
Physical Therapist
5501012971
MI
363A00000X
Physician Assistant
Primary
6218
AZ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
PA6218
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100811
—
AZ
01
—
Z187022
MEDICARE PTAN
AZ
Enumeration date
12/07/2012
Last updated
04/25/2025
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