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Individual
DR. SHANNON RAE MANNING
Active
Individual
DR. SHANNON RAE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1317654
TX
225X00000X
Occupational Therapist
116481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801208111
—
TX
Enumeration date
05/21/2014
Last updated
01/29/2020
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