Provider Demographics
NPI:1811982218
Name:MANALANG, JHONA MAGISTRADO (MSPT)
Entity type:Individual
Prefix:
First Name:JHONA
Middle Name:MAGISTRADO
Last Name:MANALANG
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 MACE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-4416
Mailing Address - Country:US
Mailing Address - Phone:718-881-3159
Mailing Address - Fax:
Practice Address - Street 1:1087 MACE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-4416
Practice Address - Country:US
Practice Address - Phone:718-881-3159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027202225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist