Individual
MS. CORRIE CORRIE MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 ASHWOOD WAY, SAINT SIMONS ISLAND, GA 31522-5704
(405) 818-7054
Mailing address
109 ASHWOOD WAY, SAINT SIMONS ISLAND, GA 31522-5704
(405) 818-7054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011869
GA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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