Individual
BROOKE MARIE MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1300 BLOOMINGDALE PIKE, KINGSPORT, TN 37660-2685
(865) 531-2204
Mailing address
100 NETHERLAND LANE, KINGSPORT, TN 37660
(423) 245-0360
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3983
TN
Other
Enumeration date
01/16/2015
Last updated
01/16/2019
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