Individual
MR. JAMES ARLEN MANNENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2780 E BARNETT RD, STE. 130, MEDFORD, OR 97504-8674
(541) 779-6146
(541) 734-7592
Mailing address
2780 E BARNETT RD, STE. 130, MEDFORD, OR 97504-8674
(541) 779-6146
(541) 734-7592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500626199
—
OR
Enumeration date
11/10/2009
Last updated
07/21/2011
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