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Organization
MANGO PHYSICAL THERAPY & WELLNESS, PLLC
Active
Organization
MANGO PHYSICAL THERAPY & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN CRAWFORD PT, DPT (PHYSICAL THERAPIST/ OWNER)
(817) 637-7946
Entity
Organization
Contact information
Practice address
3501 CATALPA DR, WYLIE, TX 75098-7443
(814) 637-7946
Mailing address
3501 CATALPA DR, WYLIE, TX 75098-7443
(817) 637-7946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
09/15/2023
Last updated
09/22/2023
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