Doctor Name: | MR. MICHAEL J MANGINI |
NPI Number: | 1063502938 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 4286 |
Business Practice Address: | 99 S Canaan Rd Canaan, CT - 06018 |
Business Phone Number: | 8608243820 |
Business Fax Number: | 8608245462 |
Mailing Address: | 99 S Canaan Rd, CANAAN |
State: | CT |
Postal Code: | 06018 |
Phone Number: | 8608243820 |
Fax Number: | 8608245462 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |