Provider Demographics
NPI:1982168787
Name:ASMA MANZAR, FNU
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:ASMA MANZAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GLOBAL PHYSICAL THERAPY SERVICES, INC
Mailing Address - Street 2:22819 MICHIGAN AVENUE
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124
Mailing Address - Country:US
Mailing Address - Phone:313-769-5820
Mailing Address - Fax:313-769-5815
Practice Address - Street 1:GLOBAL PHYSICAL THERAPY SERVICES, INC
Practice Address - Street 2:22819 MICHIGAN AVENUE
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124
Practice Address - Country:US
Practice Address - Phone:313-769-5820
Practice Address - Fax:313-769-5815
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist