Individual
JACQUELINE MANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
Mailing address
26863 E 804 RD, WELLING, OK 74471-2341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5310
OK
Other
Enumeration date
10/12/2015
Last updated
01/16/2025
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