Individual
ANDREW J MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
746 E AURORA RD, SUITE 7, MACEDONIA, OH 44056-2732
(330) 908-0039
(330) 908-0211
Mailing address
746 E AURORA RD, SUITE 7, MACEDONIA, OH 44056-2732
(330) 908-0039
(330) 908-0211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT05727
OHIO OT PT ATC BOARD
OH
Enumeration date
10/25/2005
Last updated
03/26/2013
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