Individual
MS. JESSICA MARY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
212 EASTGATE CT, ALGONQUIN, IL 60102-3003
(847) 458-0102
Mailing address
212 EASTGATE CT, ALGONQUIN, IL 60102-3003
(847) 458-0102
(847) 458-0106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006668
IL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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