Individual
MR. ROBERT MANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P T
Contact information
Practice address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 538-2273
(253) 538-9373
Mailing address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(256) 538-2273
(253) 538-9373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4520
AL
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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