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NPI Code Detail

MEDICARE: EMILY H MANN

MEDICARE:   EMILY H MANN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOTA008453OH

General Provider Information

NPI Number : 1457197790
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY H MANN
Provider Business Mailing Address
First Line : 1122 BAY HARBOUR CIR
Second Line :
City : DAYTON
State : OH
Zip : 45458-2060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4375 S COUNTY ROAD 25A
Second Line :
City : TIPP CITY
State : OH
Zip : 45371-2956
Country : US
Telephone Number : 937-667-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2024
Last Update Date : 07/05/2024

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Directions to “ EMILY H MANN ” Practice Location

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