Individual
EMILY MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 GANDY ST NE, RUSSELLVILLE, AL 35653-1913
(256) 332-3773
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5382
AL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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