Thomas Mattingly Mirra, DPT

NPI #1225623119 in Goshen, New York

Provider Information

NPI Number
1225623119
Entity Type
Individual
Name
Thomas Mattingly Mirra, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Mar 3, 2021
Last Updated
Mar 3, 2021

Practice Location

Address
30 HATFIELD LN STE 203
City
Goshen
ZIP Code
10924-6768
Phone
(845) 615-2222

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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