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Individual

WILLLIAM ALEXANDER MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
251 WESTGATE DR, TRINIDAD, CA 95570-9707
(707) 502-8878
Mailing address
251 WESTGATE DR, TRINIDAD, CA 95570-9707
(707) 502-8878

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 4884
CA

Other

Enumeration date
01/06/2015
Last updated
01/15/2015
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