Individual
FREIDRICH MANGULABNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CLT
Contact information
Practice address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-3524
Mailing address
117 2ND ST, APT. 7, PIKEVILLE, KY 41501-3991
(606) 213-7248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5152
KY
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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