Individual
CAROL KEREN MANKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4938 SARAZEN DR, HOLLYWOOD, FL 33021-2266
(786) 280-9300
(954) 986-7498
Mailing address
4938 SARAZEN DR, HOLLYWOOD, FL 33021-2266
(786) 280-9300
(954) 986-7498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z2721
BCBS
FL
Enumeration date
04/03/2007
Last updated
07/08/2007
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