MEDICARE: MANISHA VARSANI PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01997500	NJ
2	225100000X	Physical Therapist	041440	NY

General Provider Information

NPI Number	:	1447782917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANISHA VARSANI PT

Provider Business Mailing Address
First Line	:	1 GATEWAY BLVD
Second Line	:	APT 205
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-4569
Country	:	US
Telephone Number	:	201-668-1848
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 BRYANT AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-6504
Country	:	US
Telephone Number	:	201-668-1848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	11/09/2021

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Directions to “ MANISHA VARSANI PT” Practice Location

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