Individual
ANNA LIZA D MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 W ELLIOT RD STE 109, TEMPE, AZ 85284-1310
(480) 374-4341
Mailing address
3465 E BETSY LN, GILBERT, AZ 85296-7333
(623) 755-4534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013732
AZ
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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