Individual
ELIZABETH MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24 OLCOTT PL, CHEEKTOWAGA, NY 14225-3955
(716) 348-6683
Mailing address
24 OLCOTT PL, CHEEKTOWAGA, NY 14225-3955
(716) 348-6683
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009562
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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