Individual
MATTHEW MANWARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1132 ACADEMY AVE STE 101, SANGER, CA 93657-3195
(559) 876-1191
Mailing address
1132 ACADEMY AVE STE 101, SANGER, CA 93657-3195
(559) 876-1191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50227
CA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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