Individual
MRS. DEENA KATHLEEN MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
432 S MILL ST, TEHACHAPI, CA 93561-2027
(661) 822-8223
(661) 823-9347
Mailing address
432 S MILL ST, TEHACHAPI, CA 93561-2027
(661) 822-8223
(661) 823-9347
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
03/03/2026
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