Individual
COLLEEN BRIDGET MANGELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 GUY PARK AVE, AMSTERDAM, NY 12010-1064
(518) 842-1900
Mailing address
237 BLUE BARNS RD, BURNT HILLS, NY 12027-9527
(518) 901-8685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012528-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012528-01
UNSURE
NY
Enumeration date
06/30/2022
Last updated
06/30/2022
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