Individual
FIDESMARIE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1000 W CROSBY RD STE 136, CARROLLTON, TX 75006-6904
(972) 237-0100
Mailing address
315 BROOKLYN LN, PONDER, TX 76259-1005
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
122668
TX
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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