Individual
JEANNE TRISHIA MANZANA LUZARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
405 STANAFORD RD, BECKLEY, WV 25801-3143
(304) 252-6317
Mailing address
208 MANOR DR, BECKLEY, WV 25801-2536
(304) 712-6320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004054
WV
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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