Individual
ELIZABETH MANGER FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9310 SUN CITY BLVD STE 103, LAS VEGAS, NV 89134-1705
(725) 726-7847
(725) 726-7876
Mailing address
10785 W TWAIN AVE STE 250, LAS VEGAS, NV 89135-3026
(725) 726-7847
(725) 726-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1371
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629203575
—
NV
Enumeration date
05/21/2009
Last updated
12/15/2020
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