Provider Demographics
NPI:1306870886
Name:MANI, SUNITA (PT, DPT, MBA)
Entity type:Individual
Prefix:MS
First Name:SUNITA
Middle Name:
Last Name:MANI
Suffix:
Gender:F
Credentials:PT, DPT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 CASCADE CT
Mailing Address - Street 2:UNIT 1
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7804
Mailing Address - Country:US
Mailing Address - Phone:215-850-3797
Mailing Address - Fax:
Practice Address - Street 1:113 CASCADE CT
Practice Address - Street 2:UNIT 1
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7804
Practice Address - Country:US
Practice Address - Phone:215-850-3797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01438600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist