Individual
MRS. JANET PATRICIA MANNELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
19201 SE DIVISION STREET, CASCADE PHYSICAL THERAPY, GRESHAM, OR 97030
(503) 669-2500
(503) 661-4113
Mailing address
11835 SW RIVERWOOD RD, PORTLAND, OR 97219
(503) 635-4496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3344
OR
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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