Individual
STEPHANIE ANNE MANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT
Contact information
Practice address
4301 S APOPKA VINELAND RD, ORLANDO, FL 32835-3115
(407) 905-6400
Mailing address
2714 KNIGHTSBRIDGE RD, CLERMONT, FL 34711-5278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1943
FL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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