Manley, Kisha

Manley, Kisha is an individual health care provider with primary practice located at 68 Summer Ave , Newark NJ 07104-2512. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Manley, Kisha can be contacted via phone (862) 216-4030.

Contact Information

Primary practice address
68 Summer Ave Newark NJ 07104-2512
Phone: (862) 216-4030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 008107-1 New York

Profile Details

NPI number 1528474285
LBN Legal business name Manley, Kisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Jul 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528474285 NPPES
New York MEDICAID 7744850

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