SearchVirginiaPhysical Therapy Assistant

Iva Mananquil, LPTA

NPI 1013474881 · on the registry since 2019 · sole proprietor

Practice

Address
2580 Pruden Blvd
Suffolk, VA 23434
Phone
(757) 934-2363
Organisation at this address
Autumn Corporation
Autumn Care Of Suffolk
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia