NPI | 1497827547 |
---|---|
Other Name | MARK LEE MANLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00881200) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NJ 40QA00881200) |
2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00881200) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2007-07-08 |