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Holly Tesalyn Manansala, PT, DPT

Physical Therapist in Redondo Beach, CA. Individual provider (NPI-1).

NPI number1396107124
StatusActive
Last updated in NPPESMar 22, 2016

Details

NPI
1396107124
Entity type
Individual (NPI-1)
Name
Holly Tesalyn Manansala
Credential
PT, DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 22, 2016
Last updated
Mar 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT291175CAYes

Practice location

1204 S Pacific Coast Hwy
Redondo Beach, CA 90277-4904

Phone 310-316-3577

Mailing address

1204 S Pacific Coast Hwy
Redondo Beach, CA 90277-4904

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