Individual
MS. KAREN D MANIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7210 HIGHWAY 92, WOODSTOCK, GA 30189-3406
(267) 864-7803
Mailing address
7210 HIGHWAY 92, WOODSTOCK, GA 30189-3406
(267) 864-7803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0119000688
VA
174400000X
Specialist
4494
NC
174400000X
Specialist
OC002324L
PA
174400000X
Specialist
Primary
OT004002
GA
Other
Enumeration date
06/04/2008
Last updated
06/19/2014
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