Individual
MANOLO CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
75 THOMAS JOHNSON DR STE M, FREDERICK, MD 21702-4895
(301) 698-9761
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063669927
NPI GROUP
MD
01
—
19731
MD LICENSE
MD
01
—
263150124
TAX ID
MD
Enumeration date
09/14/2010
Last updated
01/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us