Mary Elizabeth Manderson
Physical Therapist - Pediatrics
1246 E Main St Ste 109
El Cajon
, California 92021-7206
Mary Elizabeth Manderson
Physical Therapist - Pediatrics
1246 E Main St Ste 109
El Cajon
, California 92021-7206
(619) 469-0810
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mary Elizabeth Manderson
- 120 Thrasher Way
- El Cajon, CA
- Zip : 92020-2632
- Phone : (619) 469-0810
Second Address
- Mary Elizabeth Manderson
- 1246 E Main St Ste 109
- El Cajon, CA
- Zip : 92021-7206
- Fax : (619) 441-1215
- Phone : (619) 441-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 15874 | CA |
National Provider Identifier
| NPI | 1083620082 |
|---|---|
| Provider Name | Mary Elizabeth Manderson |
| First Address | El Cajon, CA 92020-2632 |
| Second Address | El Cajon, CA 92021-7206 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 28/02/2018 |
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.