Individual
TAMMY LYNELE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 573-1037
(317) 200-3966
Mailing address
5767 FRASER CT APT H, INDIANAPOLIS, IN 46254-6193
(317) 267-9381
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000597A
IN
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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