Individual ProviderItinder Kaur MannPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8749 Brooke Park Dr Apt 108, Canton, MI 48187-5103(408) 981-1503PECOS EnrollmentBased on the most recent information from CMS, provider Itinder Kaur Mann does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1679960397Provider TypeIndividualFull NameMann, Itinder KaurTitleMissCredentialMPTGenderFemaleSole ProprietorYesEnumeration Date4/21/2015Last Updated4/21/2015Contact InformationPractice LocationPractice Address8749 Brooke Park Dr Apt 108, Canton, MI 48187-5103Phone(408) 981-1503FaxUnlisted FaxMailing LocationMailing Address8749 Brooke Park Dr Apt 108, Canton, MI 48187-5103Phone(408) 981-1503FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense21680MassachusettsCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10030Connecticut