Individual
ABBY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
93700 WHITE LN, NORTH BEND, OR 97459-8629
(206) 769-4188
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
401364
OR
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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