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Individual

MRS. VIRGINIA MARIE MANKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0968
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0689
PT LICENSE
SD
01
0699
PT LICENSE
OK
05
5832132
SD
Enumeration date
03/29/2007
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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