Individual
KATHLEEN ANN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
681 BEVILLE RD, SOUTH DAYTONA, FL 32119-1951
(386) 756-4395
Mailing address
53 MILLER ST, JOHNSTOWN, NY 12095-1315
(518) 844-3595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20050
FL
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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