Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 6251 | TN |
N | 225X00000X | Occupational Therapist | OT12351 | FL |
NPI | 1003938382 |
---|---|
Provider Name | Martha Manieri |
First Address | Franklin, TN 37067-5696 |
Second Address | Greenville, SC 29615-2051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 19/07/2019 |