Individual provider · Type 1 NPI
Jimmy P. Manansala Jr., RPT
Specialist · Livonia, MI
NPI number
1851751192
Active
Practice location
33620 Five Mile Rd Ste A
Livonia, MI 48154-2866
Fax (313) 541-1171
Mailing address
37100 Baker Dr
Westland, MI 48185-3766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 5501009386 (MI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
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About NPI 1851751192
Jimmy P. Manansala Jr., RPT's National Provider Identifier is 1851751192, issued on Feb 29, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Livonia, MI. The record was last updated on Aug 26, 2022.