Organization
MGML, INC.
Active
Organization
MGML, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GAY MANGALIAG LIM P.T. (PRESIDENT)
(702) 354-5478
Entity
Organization
Contact information
Practice address
8534 BENIDORM AVE, LAS VEGAS, NV 89178-4806
(702) 354-5478
(702) 458-3824
Mailing address
8534 BENIDORM AVE, LAS VEGAS, NV 89178-4806
(702) 354-5478
(702) 458-3824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1689
NV
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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