Denise Michelle Mangrum, DT
NPI #1164142212 in Park Forest, Illinois
Provider Information
- NPI Number
- 1164142212
- Entity Type
- Individual
- Name
- Denise Michelle Mangrum, DT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Credential
- DT
- Enumeration Date
- Aug 30, 2022
- Last Updated
- Aug 30, 2022
Practice Location
- Address
- 252 RICH RD
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-1630
- Phone
- (773) 971-2230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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