Individual
ANDREA LYNN MANGANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6770 N WEST AVE STE 101A, FRESNO, CA 93711-1399
(559) 878-4266
(559) 283-8746
Mailing address
701 W CENTER AVE, VISALIA, CA 93291-6015
(559) 713-6806
(559) 713-6809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
294920
CA
Other
Enumeration date
08/07/2018
Last updated
07/08/2021
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