Individual
JESSICA MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4528 E LAKE RD, CAZENOVIA, NY 13035-9387
(818) 606-6253
Mailing address
4528 E LAKE RD, CAZENOVIA, NY 13035-9387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010008
NY
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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