Individual
COLLEEN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2521 BOONE RD SE STE 100, SALEM, OR 97306-9391
(503) 585-5131
(503) 585-4065
Mailing address
5410 MCLEOD LN NE APT 302, KEIZER, OR 97303-2313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T-63464
OR
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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