Robert James Mamangun
Robert James Mamangun is a Contractor in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in California and New Jersey.
- Licensed in
- CA, NJ
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
5980 W 71st St Ste 201Indianapolis, IN 46278-2711
Phone: (317) 388-0800
Fax: (317) 388-0805
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 36714 (CA) |
|---|---|
| Contractor | Taxonomy 171W00000X · Licence 40QA01234600 (NJ) |
Record details
| NPI number | 1871617951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | December 12, 2018 |
| Mailing address | 5980 W 71st St, Suite 201, Indianapolis, IN 46278-2711 |
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