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Individual

SHANNON ELIZABETH MANTHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
424 DEAN LANE, GARDENDALE, AL 35071
(205) 631-8709
Mailing address
1540 29TH CT S APT D, BIRMINGHAM, AL 35209-2428
(504) 400-7497

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4868
AL

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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