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NPI Code Detail

MEDICARE: SATHISH KUMAR MANI

MEDICARE: SATHISH KUMAR MANI
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
2225100000XPhysical Therapist034552NY

General Provider Information

NPI Number : 1871919761
Entity Type Code : Individual
Provider Name (Legal Business Name) : SATHISH KUMAR MANI
Provider Business Mailing Address
First Line : 120 ANDERSON AVE
Second Line :
City : BOWLING GREEN
State : VA
Zip : 22427-9401
Country : US
Telephone Number : 909-907-2821
Fax Number :
Provider Business Practice Location Address
First Line : 20 MANOR DR
Second Line :
City : OSWEGO
State : NY
Zip : 13126-6495
Country : US
Telephone Number : 315-349-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2014
Last Update Date : 11/05/2024

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Directions to “ SATHISH KUMAR MANI ” Practice Location

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