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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS MATTINGLY MIRRA, DPT

Active

THOMAS MATTINGLY MIRRA, DPT is a Physical Therapy Assistant healthcare provider located in GOSHEN, New York. NPI 1225623119 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GOSHEN, NY

Registration Details

NPI Number
1225623119
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2021 (5.462666166067 yrs)
Last Updated
Mar 3, 2021
License
046158 (NY)

Practice Information

Address
30 HATFIELD LN STE 203
GOSHEN, NY, 109246768
Browse NY providers · Browse ZIP 10924
Phone
8456152222
Fax
8456152224
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GOSHEN, NY

Name Credential NPI
MARLENE A JANKER M.S.P.T. 1073540191
MS. MARISTELA S. NEVIN P.T. 1700819869
MISS GINA PALCONET PT 1558435172
JEAN A MORRISSEY P.T. 1619044419
MS. DEBORAH LYNN ENGLE P.T. 1619044328
NANCY DOLIN P.T. 1104974450
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.