Individual
CATHLEEN KEZELL MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
196 MATCH FACTORY PL, BELLEFONTE, PA 16823-1367
(814) 355-3561
(814) 353-8235
Mailing address
430 INNOVATION DR, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002747E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019541330001
—
PA
Enumeration date
04/15/2016
Last updated
04/15/2016
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