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Individual

MRS. SHARA LYNN MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
213 W MONROE AVE, LOWELL, AR 72745-9451
(479) 381-4866
Mailing address
821 GRANDY PL, LOWELL, AR 72745-9537
(479) 381-4866

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1926
AR

Other

Enumeration date
12/16/2012
Last updated
12/16/2012
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