Individual provider · Type 1 NPI

Rodolfo Manzanares, PTA

Physical Therapy Assistant · San Mateo, CA

NPI number 1558629030 Active

Practice location

222 W 39th Ave
San Mateo, CA 94403-4364

Mailing address

410 Yorkshire Way
Belmont, CA 94002-2538

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3224 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1558629030

Rodolfo Manzanares, PTA's National Provider Identifier is 1558629030, issued on May 2, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Mateo, CA. The record was last updated on May 2, 2012.