NATHANIEL JOHN MANZANO

URBANA, IL
NPI1427178730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070003477)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
Mr. NATHANIEL JOHN MANZANO PT
810 W ANTHONY DR
URBANA, IL 61802-7431
Phone number: 217-383-3400
Mailing Address
Mr. NATHANIEL JOHN MANZANO PT
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-326-2911