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Individual
MR. MICHAEL KRISTIAN MANGUBAT
Active
Individual
MR. MICHAEL KRISTIAN MANGUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029005
NY
2251P0200X
Pediatric Physical Therapist
029005
NY
Other
Enumeration date
07/21/2010
Last updated
07/19/2023
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