Doctor Name: | ELAINA MANOLIS |
NPI Number: | 1114390978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 22025 |
Business Practice Address: | 3 Strawberry Ln Dracut, MA - 018263148 |
Business Phone Number: | 5052351528 |
Business Fax Number: | |
Mailing Address: | 3 Strawberry Ln, DRACUT |
State: | MA |
Postal Code: | 018263148 |
Phone Number: | 5052351528 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2015 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 22025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |