Individual
MARTY A. MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5965 E KING PL, TULSA, OK 74115-6719
(918) 637-6137
(918) 835-0306
Mailing address
5965 E KING PL, TULSA, OK 74115-6719
(918) 637-6137
(918) 835-0306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2595
OK
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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