Doctor Name: | SWATHI K MANCHALA |
NPI Number: | 1205204963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 034814 |
Business Practice Address: | 605 Frank E Rodgers Blvd N Apt 2b Harrison, NJ - 070292636 |
Business Phone Number: | 2018998634 |
Business Fax Number: | |
Mailing Address: | 605 Frank E Rodgers Blvd N, Apt 2b HARRISON |
State: | NJ |
Postal Code: | 070292636 |
Phone Number: | 2018998634 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 034814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |