Individual
ERICA LYNN MANNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 N SHADELAND AVE, INDIANAPOLIS, IN 46219-2733
(317) 828-0750
Mailing address
11342 PINE MOUNTAIN PL, INDIANAPOLIS, IN 46229-9543
(317) 828-0750
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
BC20200950
IN
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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