Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BOBBY GENE MANOR II, LPTA
ActiveMR. BOBBY GENE MANOR II, LPTA is a Occupational Therapist healthcare provider located in LYLES, Tennessee. NPI 1073614202 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LYLES, TN
Registration Details
- NPI Number
- 1073614202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.845011608034 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2012 (TN)
Practice Information
- Address
-
162 HICKORY TRCELYLES, TN, 370989663Browse TN providers · Browse ZIP 37098
- Phone
- 9316704849
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.