| NPI | 1275070641 |
|---|---|
| Other Name | MANO JABA SINGH RUSSALIAH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 038995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038995) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-04-05 |