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Mikaela Mantele, PTA
NPI 1326515610 · on the registry since 2018 · sole proprietor
Practice
- Address
- 101 Fairview Park Dr
Dublin, GA 31021 - Phone
- (478) 272-7494
- Organisation at this address
- Bass Physical Therapy And Rehabilitation Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia