Jessica Michelle Mangus, D.P.T.

NPI #1093060204 in Douglas, Wyoming

Provider Information

NPI Number
1093060204
Entity Type
Individual
Name
Jessica Michelle Mangus, D.P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
D.P.T.
Enumeration Date
Jul 13, 2012
Last Updated
Jul 13, 2012

Practice Location

Address
111 S 5TH ST
State
Wyoming
ZIP Code
82633-2434
Phone
(307) 358-9464

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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