| NPI | 1902511736 |
|---|---|
| Doing Business As | MANGRUM PHYSICAL THERAPY AND PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | ADIO MANGRUM CEO 336-380-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-07-24 |