Individual
SHIRLEY MANACSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14902 SHELBORNE RD, WESTFIELD, IN 46074-9668
(317) 286-2885
(317) 536-3097
Mailing address
1861 HOLLAND AVE, BRONX, NY 10462-3624
(347) 859-3068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039928
NY
Other
Enumeration date
03/08/2016
Last updated
10/14/2021
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