MR. Michael J Mangini JR., PT

NPI #1063502938 in Canaan, Connecticut

Provider Information

NPI Number: 1063502938
Entity Type: Individual
Name: MR. Michael J Mangini JR., PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 99 S CANAAN RD
City: Canaan
State: Connecticut
ZIP Code: 06018
Phone: (860) 824-3820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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