Individual
REBECCA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 AVALON CIR, CENTERVILLE, OH 45458-4989
(937) 885-5426
Mailing address
126 S 3RD ST, MIAMISBURG, OH 45342-2841
(937) 694-9855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
06561
OH
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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