Individual provider · Type 1 NPI

Ida Mangrem, P.T.A.

Physical Therapy Assistant · Odessa, TX

NPI number 1639449648 Active

Practice location

2525 N Grandview Ave, Ste 400
Odessa, TX 79761-1600

Call (432) 550-4700 Map

Fax (432) 550-4715

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2083203 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1639449648

Ida Mangrem, P.T.A.'s National Provider Identifier is 1639449648, issued on Jan 6, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Odessa, TX. The record was last updated on Jan 6, 2012.