Individual
COURTNEY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2103 N VETERANS PKWY STE 332, BLOOMINGTON, IL 61704-0917
(309) 585-1809
(309) 808-2572
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027297
IL
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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