Individual
EPIMAELENE PORTIA PASIGNA MANGILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2162 OAKMONT DR, RIVIERA BEACH, FL 33404-1831
(561) 629-2836
Mailing address
2162 OAKMONT DR, RIVIERA BEACH, FL 33404-1831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23627
FL
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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