Individual
PATRICK G MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010787A
IN
225100000X
Physical Therapist
Primary
070018334
IL
Other
Enumeration date
02/28/2011
Last updated
08/26/2025
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