Individual
ERIC MANALANSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W CAMPBELL RD, RICHARDSON, TX 75080-3512
(469) 709-4178
(972) 979-6951
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1066967
TX
Other
Enumeration date
11/14/2006
Last updated
05/14/2024
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