Iva Mananquil
Physical Therapy Assistant
2580 Pruden Blvd
Suffolk
, Virginia 23434-4229
Iva Mananquil
Physical Therapy Assistant
2580 Pruden Blvd
Suffolk
, Virginia 23434-4229
(757) 513-2146
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Iva Mananquil
- 3633 Smokey Chamber Dr
- Virginia Beach, VA
- Zip : 23462-6811
- Phone : (757) 513-2146
Second Address
- Iva Mananquil
- 2580 Pruden Blvd
- Suffolk, VA
- Zip : 23434-4229
- Phone : (757) 934-2363
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2306605252 | VA |
National Provider Identifier
| NPI | 1013474881 |
|---|---|
| Provider Name | Iva Mananquil |
| First Address | Virginia Beach, VA 23462-6811 |
| Second Address | Suffolk, VA 23434-4229 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2019 |
| Last Update Date | 27/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.