Individual
AMY S. MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
33 CENTRAL PLZ, ILION, NY 13357-1701
(315) 895-4016
(315) 894-7326
Mailing address
26 CONKEY AVE, BOX 136, NORWICH, NY 13815-1756
(315) 895-4016
(315) 894-7326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q054D1
EMPIRE BLUE CROSS
NY
Enumeration date
04/03/2006
Last updated
08/20/2013
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