Andivi Manzano, PT, DPT
NPI #1285342998 in Granada Hills, California
Provider Information
- NPI Number
- 1285342998
- Entity Type
- Individual
- Name
- Andivi Manzano, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Nov 10, 2022
- Last Updated
- Sep 22, 2023
Practice Location
- Address
- 10515 BALBOA BLVD STE 140
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-6350
- Phone
- (818) 363-0339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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