Provider Demographics
NPI:1467572727
Name:ALANIZ, MANDY A (PT)
Entity Type:Individual
Prefix:
First Name:MANDY
Middle Name:A
Last Name:ALANIZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:14317 NW BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5536
Mailing Address - Country:US
Mailing Address - Phone:361-241-0324
Mailing Address - Fax:361-387-4153
Practice Address - Street 1:14317 NW BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5536
Practice Address - Country:US
Practice Address - Phone:361-241-0324
Practice Address - Fax:361-387-4153
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist