| Doctor Name: | MR. ANDREI M MANALANG |
| NPI Number: | 1457480543 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 40QA00694800 |
| Business Practice Address: | 1777 Hamburg Tpke Suite 105 Wayne, NJ - 074705211 |
| Business Phone Number: | 8622480840 |
| Business Fax Number: | 8622480841 |
| Mailing Address: | 57 Floral Ter, TENAFLY |
| State: | NJ |
| Postal Code: | 076702449 |
| Phone Number: | 2012664695 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00694800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |