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Individual
MICHAEL MAMMOSER
Active
Individual
MICHAEL MAMMOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
051204
NY
225100000X
Physical Therapist
2305215120
VA
225100000X
Physical Therapist
PT019942
OH
Other
Enumeration date
06/10/2022
Last updated
08/25/2023
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