Individual
MRS. AMANDA RASHELLA MANGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
49664 GRATIOT AVE, CHESTERFIELD, MI 48051-2526
(586) 435-6942
Mailing address
49664 GRATIOT AVE, CHESTERFIELD, MI 48051-2526
(586) 435-6942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007130
MI
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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