Individual provider · Type 1 NPI

Mary Elizabeth Manderson, PT

Pediatric Physical Therapist · El Cajon, CA

NPI number 1083620082 Active

Practice location

1246 E Main St Ste 109
El Cajon, CA 92021-7206

Fax (619) 441-1215

Mailing address

120 Thrasher Way
El Cajon, CA 92020-2632

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X15874 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1083620082

Mary Elizabeth Manderson, PT's National Provider Identifier is 1083620082, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in El Cajon, CA. The record was last updated on Feb 28, 2018.