Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Mangam

Individual provider Physical Therapy Assistant · NPI 1093100620

Mark Mangam is a Physical Therapy Assistant in Towaco, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2015
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Practice location Address checks out

9 Twaits Rd
Towaco, NJ 07082-1223
Phone: (973) 334-1357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00304200 (NJ)

Record details

NPI number1093100620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015