Individual
BERNARD LOUIS MANNISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5920 S ESTES ST STE 220, LITTLETON, CO 80123-8619
(303) 978-0734
(720) 925-5897
Mailing address
5445 DTC PKWY STE 1130, GREENWOOD VILLAGE, CO 80111-3038
(720) 749-5599
(720) 925-5897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305205087
VA
225100000X
Physical Therapist
PT870974
DC
225100000X
Physical Therapist
Primary
PTL-9509
CO
Other
Enumeration date
10/11/2006
Last updated
03/08/2024
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