Individual
MRS. LAURA MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3101 WEST US ROUTE 224, TIFFIN, OH 44883
(419) 443-1429
Mailing address
5550 N TOWNSHIP ROAD 179, REPUBLIC, OH 44867-9677
(419) 681-2335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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