Individual
DR. CARL J MANGIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT,OSC,RKC
Contact information
Practice address
1243 EASTON RD, SUITE 104, WARRINGTON, PA 18976-3801
(215) 343-9400
(215) 343-4401
Mailing address
1243 EASTON RD, SUITE 104, WARRINGTON, PA 18976-3801
(215) 343-9400
(215) 343-4401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DAPT 000136
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050522946
CORPORATE
PA
01
—
1439307
PA BS
PA
01
—
2133068000
PERSONAL CHOICE
PA
Enumeration date
04/19/2007
Last updated
07/09/2015
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