Individual
CARLEY MANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1401 CEDAR ST NE, GRAND RAPIDS, MI 49503-1375
(616) 486-3900
Mailing address
175 DENILEE CT NE, COMSTOCK PARK, MI 49321-9614
(616) 325-8182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016011
MI
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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