Doctor Name: | KHELMER ESTANISLAO MANALO |
NPI Number: | 1265580617 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 28216 |
Business Practice Address: | 2249 Sarah Ct Pinole, CA - 945641861 |
Business Phone Number: | 5105419235 |
Business Fax Number: | 9253870084 |
Mailing Address: | 2249 Sarah Ct, PINOLE |
State: | CA |
Postal Code: | 945641861 |
Phone Number: | 5105419235 |
Fax Number: | 9253870084 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 08/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 28216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |