| NPI | 1003199464 |
|---|---|
| Former Name | JANA CHRISTINE MANNINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016729) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 99048678A) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2023-08-03 |