Provider Demographics
NPI:1679134308
Name:SANDHU, MANWINDER SINGH (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MANWINDER
Middle Name:SINGH
Last Name:SANDHU
Suffix:
Gender:M
Credentials:PT, DPT
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 745944
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-5944
Mailing Address - Country:US
Mailing Address - Phone:410-970-8177
Mailing Address - Fax:410-313-8024
Practice Address - Street 1:7801 YORK RD STE 236
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7448
Practice Address - Country:US
Practice Address - Phone:410-583-0333
Practice Address - Fax:410-583-2134
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist