Doctor Name: | STEPHEN C. MANTEGANI |
NPI Number: | 1760786412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PT009404L |
Business Practice Address: | 3119 Cranberry Hwy Ste 4 East Wareham, MA - 025384840 |
Business Phone Number: | 5087595411 |
Business Fax Number: | 5087596194 |
Mailing Address: | P.o. Box 866308, PLANO |
State: | TX |
Postal Code: | 750866308 |
Phone Number: | 8007935464 |
Fax Number: | 2673212099 |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT009404L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |