Jeremy Peter Mang
Jeremy Peter Mang is a Physical Therapist in Gasport, New York. Licensed in New York. Registered with an NPI since 2020.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
4540 Lincoln DrGasport, NY 14067-9212
Phone: (716) 772-2631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 022542-1 (NY) |
|---|
Record details
| NPI number | 1881290740 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 7, 2020 |
| Last updated in NPPES | December 7, 2020 |
| Certification date | December 7, 2020 |