Individual
MRS. JENNIFER MICHELLE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM 87420
(505) 368-7089
(505) 368-7091
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-7089
(505) 368-7091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103032
MN
225XH1200X
Hand Occupational Therapist
201311087
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
909430000
—
MN
Enumeration date
04/11/2007
Last updated
07/24/2015
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