Individual
LEIGH ANNE R MANGONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 NJ ROUTE 10, WHIPPANY, NJ 07981
(973) 929-2729
Mailing address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00405700
NJ
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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