Individual
MISS LE-ANN MANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2759 CHAPEL HILL ROAD STE 1200, DOUGLASVILLE, GA 30135-1721
(678) 981-6290
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP008641T
GA
2251X0800X
Orthopedic Physical Therapist
14155
NC
Other
Enumeration date
05/25/2013
Last updated
12/01/2021
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