| NPI | 1447452446 |
|---|---|
| Former Name | ERICA LYNN MANGINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 852) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103134) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-04-26 |