Individual
MRS. SANDRA LYNN MANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-5515
(651) 773-5988
Mailing address
3932 QUINCY ST NE, COLUMBIA HEIGHTS, MN 55421-3949
(763) 781-2216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200729
MN
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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