Michelle Rose Mangus
Physical Therapy Assistant in Clayton, NC. Individual provider (NPI-1).
NPI number1679970677
StatusActive
Last updated in NPPESNov 20, 2014
Details
- NPI
- 1679970677
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Rose Mangus
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2014
- Last updated
- Nov 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5452 | NC | Yes |
Practice location
2012 Fox DenClayton, NC 27527-9179
Phone 330-590-0637
Mailing address
2012 Fox DenClayton, NC 27527-9179
Phone 330-590-0637
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Other Physical Therapy Assistant providers in Clayton, NC
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- Gretchen N PaavolaNPI 1205503851
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All 12 Physical Therapy Assistant providers in Clayton · All 1,221 providers in Clayton
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