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NPI Code Detail

MEDICARE: ALICE MCMANUS PT

MEDICARE: ALICE MCMANUS 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
12251P0200XPediatric Physical Therapist

General Provider Information

NPI Number : 1134703457
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE MCMANUS PT
Provider Business Mailing Address
First Line : 1827 AGATE BAY DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-7589
Country : US
Telephone Number : 973-906-0566
Fax Number :
Provider Business Practice Location Address
First Line : 85C VINCENT DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-4030
Country : US
Telephone Number : 843-425-7963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2021
Last Update Date : 05/12/2021

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Directions to “ ALICE MCMANUS PT” Practice Location

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