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NPI Code Detail

MEDICARE: MANISHA DALLAKOTI

MEDICARE: MANISHA DALLAKOTI
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1487422598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANISHA DALLAKOTI
Provider Business Mailing Address
First Line : 1270 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2260
Country : US
Telephone Number : 171-884-0339
Fax Number :
Provider Business Practice Location Address
First Line : 1270 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2260
Country : US
Telephone Number : 171-884-0339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2023
Last Update Date : 12/18/2023

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Directions to “ MANISHA DALLAKOTI ” Practice Location

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