Individual
OLIVIA MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W LYON DR, NEOSHO, MO 64850-9194
(615) 896-6400
Mailing address
2819 N IOWA, JOPLIN, MO 64801-7427
(417) 624-3491
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003218
MO
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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