Individual
MS. KORI R MANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
18 VALENCIA RD, ARROYO SECO, NM 87529-8752
(575) 740-0356
Mailing address
PO BOX 477, HILLSBORO, NM 88042-0477
(575) 740-0356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2194
NM
Other
Enumeration date
08/29/2006
Last updated
12/21/2021
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