Individual
MOLLY JOANNE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
4222 161ST ST, URBANDALE, IA 50323-2263
(515) 867-1571
Mailing address
4222 161ST ST, URBANDALE, IA 50323-2263
(515) 867-1571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
084550
IA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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