Individual
MR. BRIAN JAMES MANTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVT, VRT
Contact information
Practice address
1909 E 101ST ST, CLEVELAND, OH 44106-4110
(216) 791-8118
(216) 791-1101
Mailing address
1909 E 101ST ST, CLEVELAND, OH 44106-4110
(216) 791-8118
(216) 791-1101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
5794
OH
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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