Individual
THOMAS MANDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS, CSCS
Contact information
Practice address
535 E 70TH ST., NEW YORK, NY 10021
(212) 606-1005
Mailing address
535 E 70TH ST., NEW YORK, NY 10021
(212) 606-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J1-0003957
DE
2251S0007X
Sports Physical Therapist
Primary
044279
NY
Other
Enumeration date
08/08/2018
Last updated
04/13/2021
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