Doctor Name: | MR. WILLIAM BRUCE MANNEWITZ |
NPI Number: | 1093848186 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1147133 |
Business Practice Address: | 115 E Texas Blvd Dalhart, TX - 790224319 |
Business Phone Number: | 8062440015 |
Business Fax Number: | 8062440017 |
Mailing Address: | 1614 Apache Dr, DALHART |
State: | TX |
Postal Code: | 790225112 |
Phone Number: | 8062440940 |
Fax Number: | 8062440017 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1147133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |