Individual
MRS. MARY KATE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1613 OAKWOOD ST, BEDFORD, VA 24523-1213
(540) 425-7863
Mailing address
31 CAPE CHARLES SQ, LYNCHBURG, VA 24502-4395
(434) 941-1537
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0131001639
VA
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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