Provider Demographics
NPI:1952612517
Name:MANN, STEVEN J (PT (DPT))
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:MANN
Suffix:
Gender:M
Credentials:PT (DPT)
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:J
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:45 LYME RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755
Mailing Address - Country:US
Mailing Address - Phone:603-653-0040
Mailing Address - Fax:603-653-0041
Practice Address - Street 1:45 LYME ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755
Practice Address - Country:US
Practice Address - Phone:603-653-0040
Practice Address - Fax:603-653-0041
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH37812251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic