Mangostana LLC
NPI #1033991443 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1033991443
- Entity Type
- Organization
- Organization Name
- Mangostana LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 19, 2023
- Last Updated
- Oct 19, 2023
Practice Location
- Address
- 1020 COAL AVE SE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87106-5206
- Phone
- (505) 221-6475
Authorized Official
- Name
- KAREN CHAN, PT
- Title
- OWNER/ THERAPIST
- Phone
- (505) 221-6475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Clinic/Center - Physical Therapy — Physical Therapy |
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