Provider Demographics
NPI:1609097021
Name:MANAUIS, ROMEL UY (PTA, BS)
Entity Type:Individual
Prefix:MR
First Name:ROMEL
Middle Name:UY
Last Name:MANAUIS
Suffix:
Gender:M
Credentials:PTA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27099 MATHESON AVE
Mailing Address - Street 2:#105
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-3900
Mailing Address - Country:US
Mailing Address - Phone:239-676-9564
Mailing Address - Fax:
Practice Address - Street 1:10949 PARNU ST
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-1405
Practice Address - Country:US
Practice Address - Phone:239-592-5501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12823225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant