Mr Ronnie Santiago Mangulabnan Jr, | |
44 Old Ridgefield Rd Ste 213, Wilton, CT 06897-3014 | |
(877) 407-3422 | |
Not Available |
Full Name | Mr Ronnie Santiago Mangulabnan Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 44 Old Ridgefield Rd Ste 213, Wilton, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174929848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 009865 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehab Pt Ct, Llc | 8820235575 | 58 |
Provider Name | Fox Rehab Pt Ct, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245584234 PECOS PAC ID: 8820235575 Enrollment ID: O20130516000426 |
Mailing Address | Practice Location Address |
---|---|
Mr Ronnie Santiago Mangulabnan Jr, 44 Old Ridgefield Rd Ste 213, Wilton, CT 06897-3014 Ph: () - | Mr Ronnie Santiago Mangulabnan Jr, 44 Old Ridgefield Rd Ste 213, Wilton, CT 06897-3014 Ph: (877) 407-3422 |
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