Provider Demographics
NPI:1962448878
Name:DAHDUL, MANJIRI (DPT)
Entity Type:Individual
Prefix:
First Name:MANJIRI
Middle Name:
Last Name:DAHDUL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16861 ALGONQUIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3810
Mailing Address - Country:US
Mailing Address - Phone:714-840-8178
Mailing Address - Fax:562-596-0627
Practice Address - Street 1:16861 ALGONQUIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3810
Practice Address - Country:US
Practice Address - Phone:714-840-8178
Practice Address - Fax:562-596-0627
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA286352251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology