KIMBERLY GRAY MANGUM

RALEIGH, NC
NPI1154518876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NC  6619)
Enumeration Date2007-09-26
Last Update Date2007-12-13
Business Address
-- KIMBERLY GRAY MANGUM MOT, OTR/L
7209 CREEDMOOR RD SUITE 101
RALEIGH, NC 27613-1625
Phone number: 919-844-1100
Mailing Address
-- KIMBERLY GRAY MANGUM MOT, OTR/L
11725 STANNARY PL
RALEIGH, NC 27613-7814
Phone number: 352-682-8996