Individual
JEREMY D MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1563 N STATE ST, GREENFIELD, IN 46140-1066
(317) 467-5700
(317) 467-5701
Mailing address
2122 YORK RD, OAK BROOK, IL 60523-1930
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007820A
IN
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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