Provider Demographics
NPI:1578772281
Name:MCMANUS, ANNMARIE W (PA-C, PT)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:W
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:PA-C, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:195 W LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1748
Mailing Address - Country:US
Mailing Address - Phone:484-222-0341
Mailing Address - Fax:609-357-9496
Practice Address - Street 1:195 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1748
Practice Address - Country:US
Practice Address - Phone:484-222-0341
Practice Address - Fax:609-357-9496
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022714225100000X
NVPA929363A00000X
PAMA055900363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist