| NPI | 1093104986 |
|---|---|
| Former Name | MAURA MANGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17071) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-09-21 |