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Search › California › 225200000X

Derek Mantey, MS, ATC, PTA

NPI 1790107365 · on the registry since 2014

Practice

Address
31461 Rancho Viejo Rd
Suite 101
San Juan Capistrano, CA 92675
Phone
(949) 542-5000
Fax
(949) 419-2650
Organisation at this address
Mazolewski Oc Medical Pc
Gleason Physical Therapy Inc.
Fullmotion Physical Therapy Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-15

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 California