Individual
GRANT MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 CHESTERFIELD CTR STE 300, CHESTERFIELD, MO 63017-4823
(636) 778-9643
Mailing address
578 HIGHLAND RIDGE DR, BALLWIN, MO 63011-2703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025045402
MO
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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