Individual
JENNA MANGIAGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11460 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6030
(310) 337-7115
Mailing address
2007 CIRCLE DR, HERMOSA BEACH, CA 90254-2838
(310) 614-7187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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