Provider Demographics
NPI:1811026180
Name:MANCHESTER, JAMES A (PTA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:MANCHESTER
Suffix:
Gender:M
Credentials:PTA
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Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:610-991-2034
Mailing Address - Fax:610-438-2046
Practice Address - Street 1:1900 HILLSMERE LN
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-1796
Practice Address - Country:US
Practice Address - Phone:610-991-2034
Practice Address - Fax:610-438-2046
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2012-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2306601800225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA496665Medicare Oscar/Certification