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Organization
MANGRUM HEALTH SERVICES LLC
Active
Organization
MANGRUM HEALTH SERVICES LLC
Active
Other names
Mangrum Physical Therapy and Performance
Organization subpart
No
Provider details
NPI number
Authorized official
ADIO MANGRUM (CHIEF EXECUTIVE OFFICER)
(336) 380-4480
Entity
Organization
Contact information
Practice address
3419 US HIGHWAY 70 W STE 102, EFLAND, NC 27243-8466
(336) 792-4881
(877) 339-9413
Mailing address
3419 US HIGHWAY 70 W STE 102, EFLAND, NC 27243-8466
(336) 792-4881
(877) 339-9413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/17/2023
Last updated
04/22/2026
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