Provider Demographics
NPI:1790089852
Name:MANIAR, SHERYL (MPT)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:
Last Name:MANIAR
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 GRAND ST
Mailing Address - Street 2:UNIT 2E
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2158
Mailing Address - Country:US
Mailing Address - Phone:732-485-7443
Mailing Address - Fax:
Practice Address - Street 1:1015 GRAND ST
Practice Address - Street 2:UNIT 2E
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2158
Practice Address - Country:US
Practice Address - Phone:732-485-7443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00921000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist