Individual
THERESA J MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 388-6375
Mailing address
3486 REMUDA DR, FARR WEST, UT 84404-8625
(801) 388-6375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5723345-4201
UT
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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