Provider Demographics
NPI:1295041499
Name:MANCHEVA, MARGARITA N (DPT)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:N
Last Name:MANCHEVA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23101 SHERMAN PL STE 515
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2052
Mailing Address - Country:US
Mailing Address - Phone:747-900-6362
Mailing Address - Fax:747-900-6114
Practice Address - Street 1:23101 SHERMAN PL STE 515
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2052
Practice Address - Country:US
Practice Address - Phone:747-900-6362
Practice Address - Fax:747-900-6114
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist