Individual
SUSANA MANZANO-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7513 NEWLAND ST, PHILADELPHIA, PA 19128-4134
(215) 483-8380
Mailing address
7513 NEWLAND ST, PHILADELPHIA, PA 19128-4134
(215) 483-8380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE004055L
PA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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