Individual
MRS. ANA KARLA MANNENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
1910 E BARNETT RD, SUITE 103, MEDFORD, OR 97504-8672
(503) 657-8903
(503) 650-4302
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
(503) 650-4302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6000
OR
2251P0200X
Pediatric Physical Therapist
6000
OR
Other
Enumeration date
10/02/2009
Last updated
02/17/2012
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