Individual
MRS. MICHELLE ROSE MANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 FOX DEN, CLAYTON, NC 27527-9179
(330) 590-0637
Mailing address
2012 FOX DEN, CLAYTON, NC 27527-9179
(330) 590-0637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5452
NC
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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