Anna Mangano PTA

NPI 1477846053 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1477846053
Gender Female
Enumeration Date 05/16/2011
Last Updated 05/27/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
22320 CLASSIC CT
LAKE BARRINGTON IL, 60010-5903, US
Phone (847) 842-8900
Fax
Business Location
6105 BRONZE LEAF DR
PLANO TX, 75023-3922, US
Phone (815) 529-8943
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160005482
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According to our database, Miss Anna Mangano PTA NPI is 1477846053, taxonomy code is 225200000X and license number is 160005482, license state is located at Illinois. Anna Mangano PTA physically located at 22320 Classic Ct, Lake Barrington IL, 60010-5903. NPI Number Anna Mangano PTA has the Individual type.

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1477846053 NPI number is provided on an as is basis without warranty of any kind. 1477846053 is maintained by the National Plan & Provider Enumeration System. The contents of Anna Mangano PTA are for informational purposes only.