Individual
BONNIE MANGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1505 SW CARY PKWY STE 304, CARY, NC 27511-6219
(919) 463-9443
Mailing address
1505 SW CARY PKWY STE 304, CARY, NC 27511-6219
(919) 463-9443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12164
NC
225100000X
Physical Therapist
2307
NH
225100000X
Physical Therapist
35415
CA
Other
Enumeration date
01/25/2007
Last updated
09/15/2009
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