Individual
MARANDA MANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
308 HORTON ST STE B, GRAYSON, KY 41143-1599
(270) 283-3845
Mailing address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718-4908
(270) 465-0068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
270382
KY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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