Individual
MARK MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L
Contact information
Practice address
178 DENSLOWE DR, SAN FRANCISCO, CA 94132-2035
(415) 548-0000
Mailing address
108 LEHMAN LN, MILL VALLEY, CA 94941-3449
(415) 328-7536
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9994
CA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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