Individual
MR. RODOLFO MANZANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2472
Mailing address
410 YORKSHIRE WAY, BELMONT, CA 94002-2538
(650) 303-1352
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3224
CA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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