MR. Emmanuel Requena SR.

NPI #1861893745 in Wabash, Indiana

Provider Information

NPI Number: 1861893745
Entity Type: Individual
Name: MR. Emmanuel Requena SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 10, 2014
Last Updated: Sep 10, 2014

Practice Location

Address: 20 JOHN KISSINGER DR
City: Wabash
State: Indiana
ZIP Code: 46992-1648
Phone: (260) 274-0868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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