Mangio, Michelle Marie

Mangio, Michelle Marie is an sole proprietor health care provider with primary practice located at 1580 Southgate Ave #420, Daly City CA 94015-2262. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mangio, Michelle Marie can be contacted via phone (650) 283-2087.

Contact Information

Primary practice address
1580 Southgate Ave #420 Daly City CA 94015-2262
Phone: (650) 283-2087
Fax: (650) 991-3658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT8458 California

Profile Details

NPI number 1992937114
LBN Legal business name Mangio, Michelle Marie
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Aug 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992937114 NPPES
California Other OT8458 STATE LICENSE

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