Jasyn M Mamantov, PHYSICAL THERAPIST

NPI #1316578230 in Joshua, Texas

Provider Information

NPI Number: 1316578230
Entity Type: Individual
Name: Jasyn M Mamantov, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Jan 29, 2020
Last Updated: Jan 29, 2020

Practice Location

Address: 5600 SCOTT CT
City: Joshua
State: Texas
ZIP Code: 76058-6026
Phone: (817) 709-8406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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