Individual
STEPHANIE MANGLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9225 CASCADE AVE, WEST DES MOINES, IA 50266-8592
(515) 978-2395
Mailing address
901 NE CASADY LN APT 105, ANKENY, IA 50021-6935
(816) 519-4527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
097061
IA
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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