Mangrem, Ida

Mangrem, Ida is an individual health care provider with primary practice located at 2525 N Grandview Ave Ste 400, Odessa TX 79761-1600. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mangrem, Ida can be contacted via phone (432) 550-4700.

Contact Information

Primary practice address
2525 N Grandview Ave Ste 400 Odessa TX 79761-1600
Phone: (432) 550-4700
Fax: (432) 550-4715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2083203 Texas

Profile Details

NPI number 1639449648
LBN Legal business name Mangrem, Ida
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 12 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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