Mikaela Mantele, PTA
Physical Therapy Assistant in Dublin, GA. Individual provider (NPI-1).
NPI number1326515610
StatusActive
Last updated in NPPESOct 25, 2018
Details
- NPI
- 1326515610
- Entity type
- Individual (NPI-1)
- Name
- Mikaela Mantele
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2018
- Last updated
- Oct 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA004126 | GA | Yes |
Practice location
101 Fairview Park DrDublin, GA 31021-2501
Phone 478-272-7494
Mailing address
305 Rainbow RdEllabell, GA 31308-8587
Phone 303-717-0551
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Other Physical Therapy Assistant providers in Dublin, GA
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All 9 Physical Therapy Assistant providers in Dublin · All 1,309 providers in Dublin
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