Individual
MR. RICHARD JOSEPH MANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3919 S 19TH ST, TACOMA, WA 98405-1414
(253) 752-5677
Mailing address
3919 SOUTH 19TH STREET, TACOMA, WA 98405
(253) 752-5677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160462329
WA
Other
Enumeration date
12/13/2017
Last updated
03/17/2018
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