KEVIN TIMOTHY MANGAN

OCEANSIDE, NY
NPI1639270820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  014577)
Enumeration Date2006-09-26
Last Update Date2015-01-27
Business Address
-- KEVIN TIMOTHY MANGAN PT,DPT
3941 BEA CT
OCEANSIDE, NY 11572-5907
Phone number: 516-317-9593
Mailing Address
-- KEVIN TIMOTHY MANGAN PT,DPT
3941 BEA CT
OCEANSIDE, NY 11572-5907
Phone number: 516-317-9593
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