Individual
CARRIE MANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 PALMETTO PARK BLVD, SUITE B, LEXINGTON, SC 29072-7968
(803) 359-2323
(803) 359-2331
Mailing address
108 PALMETTO PARK BLVD, SUITE B, LEXINGTON, SC 29072-7968
(803) 359-2323
(803) 359-2331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2303
SC
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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