Individual
NATASHA K MANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1045 RIVERSIDE AVE STE 190, JACKSONVILLE, FL 32204-4189
(904) 647-4284
Mailing address
45136 FOURTH AVE, CALLAHAN, FL 32011-3805
(308) 672-3243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27353
FL
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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