MRS. Prathibha Mannil

NPI #1003343468 in Saint Peters, Missouri

Provider Information

NPI Number: 1003343468
Entity Type: Individual
Name: MRS. Prathibha Mannil
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 17, 2017
Last Updated: May 17, 2017

Practice Location

Address: 5400 EXECUTIVE CENTRE PKWY
City: Saint Peters
State: Missouri
ZIP Code: 63376-2594
Phone: (636) 922-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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