Individual
CHRISTOPHER NICHOLAS MONGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 PLAZA DR STE 104, PALM COAST, FL 32137-8549
(386) 447-5447
(386) 447-5502
Mailing address
234 EDGE PARK TRL, SAINT AUGUSTINE, FL 32086-1921
(631) 672-7493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30893
FL
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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