Individual
PENNY L MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1504 LOWER BEAVER RD, OAKDALE, LA 71463-8016
(318) 335-2706
(337) 468-4692
Mailing address
1504 LOWER BEAVER RD, OAKDALE, LA 71463-8016
(318) 335-2706
(337) 468-4692
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12317
LA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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