Manna, Tracy

Manna, Tracy is an sole proprietor health care provider with primary practice located at 1 N Belfield Ave , Havertown PA 19083-4904. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Manna, Tracy can be contacted via phone (610) 449-1600.

Contact Information

Primary practice address
1 N Belfield Ave Havertown PA 19083-4904
Phone: (610) 449-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC006701L Pennsylvania

Profile Details

NPI number 1508924119
LBN Legal business name Manna, Tracy
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated May 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508924119 NPPES
Pennsylvania MEDICAID 01970635
Pennsylvania Other 2424322
Pennsylvania Other 971601
Pennsylvania MEDICAID 30013765

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