Provider Demographics
NPI:1619203718
Name:MANNING, LATOSHA NICOLE SOLOMON (PT, DPT, MBA)
Entity type:Individual
Prefix:DR
First Name:LATOSHA
Middle Name:NICOLE SOLOMON
Last Name:MANNING
Suffix:
Gender:F
Credentials:PT, DPT, MBA
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Mailing Address - Street 1:7050 GALL BOULEVARD
Mailing Address - Street 2:OUTPATIENT PHYSICAL THERAPY
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-2770
Mailing Address - Country:US
Mailing Address - Phone:352-521-1193
Mailing Address - Fax:352-518-1084
Practice Address - Street 1:7050 GALL BOULEVARD
Practice Address - Street 2:OUTPATIENT PHYSICAL THERAPY DEPARTMENT
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541
Practice Address - Country:US
Practice Address - Phone:352-521-1193
Practice Address - Fax:352-518-1084
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT 25077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist