Individual
EMILY JANE MANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 S PIONEER RD, FOND DU LAC, WI 54935-3800
(920) 922-7776
Mailing address
103 S PIONEER RD STE 100, FOND DU LAC, WI 54935-3800
(920) 922-7776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2965-19
WI
Other
Enumeration date
09/04/2019
Last updated
03/17/2021
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