Doctor Name: | MR. ROBERT MANLEY |
NPI Number: | 1962443770 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 40QA00949700 |
Business Practice Address: | 61 Lakeview Ave Clifton, NJ - 070114041 |
Business Phone Number: | 9737728006 |
Business Fax Number: | 9737720907 |
Mailing Address: | 635 Hamburg Tpke, #706 POMPTON LAKES |
State: | NJ |
Postal Code: | 074421450 |
Phone Number: | 9734499518 |
Fax Number: | 9737720907 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00949700 |
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 |