Individual
TERESA LYNN MANESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
262 CEDAR AVE, GATE CITY, VA 24251-3248
(423) 502-2313
Mailing address
262 CEDAR AVE, GATE CITY, VA 24251-3248
(423) 502-2313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001164
VA
225200000X
Physical Therapy Assistant
5253
TN
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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