THOMAS MATTINGLY MIRRA

GOSHEN, NY
NPI1225623119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  046158)
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
THOMAS MATTINGLY MIRRA DPT
30 HATFIELD LN STE 203
GOSHEN, NY 10924-6768
Phone number: 845-615-2222
Mailing Address
THOMAS MATTINGLY MIRRA DPT
16 MAYBROOK RD
CAMPBELL HALL, NY 10916-2743
Phone number: 845-636-4344