| Organization Name: | CORA MANUEL THERAPY SERVICES, LLC |
| NPI Number: | 1235422361 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CORA ELIZABETH MANUEL (BUSINESS OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 1605 7th St Ste B Mamou |
| State: | LA US |
| Postal Code: | 705542221 |
| Phone Number: | 3374684685 |
| Fax Number: | 3374684692 |
| NPI Enumeration Date: | 05/23/2011 |
| NPI Last Update Date: | 11/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 06432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |