Provider Demographics
NPI:1134990567
Name:MANOT
Entity type:Organization
Organization Name:MANOT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABSI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:909-575-7821
Mailing Address - Street 1:2222 FOOTHILL BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-1485
Mailing Address - Country:US
Mailing Address - Phone:909-575-7821
Mailing Address - Fax:
Practice Address - Street 1:5132 JESSEN DR
Practice Address - Street 2:
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-1329
Practice Address - Country:US
Practice Address - Phone:909-575-7821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty