Provider Demographics
NPI:1083839153
Name:MANN, MONIKA ELIZABETH (RPT)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:ELIZABETH
Last Name:MANN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2022
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702
Mailing Address - Country:US
Mailing Address - Phone:510-298-1778
Mailing Address - Fax:510-298-1778
Practice Address - Street 1:2041 BANCROFT WAY
Practice Address - Street 2:BERKELEY PHYSICAL THERAPY
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704
Practice Address - Country:US
Practice Address - Phone:510-549-2225
Practice Address - Fax:510-549-0741
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist