Jose Ichiro Manabat, P.T.A
NPI #1104266766 in Yucaipa, California
Provider Information
- NPI Number
- 1104266766
- Entity Type
- Individual
- Name
- Jose Ichiro Manabat, P.T.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- P.T.A
- Enumeration Date
- Jun 27, 2013
- Last Updated
- Nov 23, 2013
Practice Location
- Address
- 11940 GREENBLUFF WAY
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-3476
- Phone
- (909) 790-0861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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