Individual
JEFF W MANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7040
Mailing address
5301 BEE JAY CT, FAIR OAKS, CA 95628-3800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6577
CA
Other
Enumeration date
12/09/2005
Last updated
07/08/2007
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