| 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 |