Provider Demographics
NPI:1508576000
Name:MANGLAPUS, WILFREDO LELINA JR (DPT)
Entity Type:Individual
Prefix:DR
First Name:WILFREDO
Middle Name:LELINA
Last Name:MANGLAPUS
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2 DAPHNE CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4105
Mailing Address - Country:US
Mailing Address - Phone:908-255-3122
Mailing Address - Fax:
Practice Address - Street 1:647 NJ ROUTE 18
Practice Address - Street 2:UNIT 1
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-390-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-25
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA021301002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic