Individual
LORI JEAN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
400 E QUINCY ST, SAN ANTONIO, TX 78215-1934
(210) 472-2011
(210) 472-0214
Mailing address
400 E QUINCY ST, SAN ANTONIO, TX 78215-1934
(210) 472-2011
(210) 472-0214
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
206607
TX
Other
Enumeration date
05/10/2009
Last updated
05/10/2009
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