Individual
MICHELLE JOAN MANJEROVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1001168
PA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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