MEDICARE: EMANUELA MANNINO DPT

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	PT025878	PA

General Provider Information

NPI Number	:	1013439272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMANUELA MANNINO DPT

Provider Business Mailing Address
First Line	:	318 SENECA ST
Second Line	:
City	:	ESSINGTON
State	:	PA
Zip	:	19029-1606
Country	:	US
Telephone Number	:	610-265-2230
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 PHILADELPHIA PIKE
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2568
Country	:	US
Telephone Number	:	302-408-7310
Fax Number	:

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

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	09/08/2022

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