Individual
LISA MCMANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
13729 WOODWORTH RD, NEW SPRINGFIELD, OH 44443-9702
(330) 549-2530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 4076
OH
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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