Individual
ALEXANDRA KRISTINE MANGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
33 RICHMOND HILL RD, STATEN ISLAND, NY 10314-5950
(718) 982-6340
Mailing address
900 ROUTE 9 N STE 410, WOODBRIDGE, NJ 07095-1003
(201) 801-7141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044878
NY
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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