| NPI | 1144606641 |
|---|---|
| Former Name | REBECCA MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 25596) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2023-12-15 |