Individual
RITA DOUGLAS MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5936 N KEYSTONE AVE, SUITE 101, INDIANAPOLIS, IN 46220-2458
(317) 257-8340
(317) 257-8361
Mailing address
107 E BEECHWOOD LN, INDIANAPOLIS, IN 46227-2132
(317) 788-2982
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000112A
IN
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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