Heisel-Mangano, Jennifer
Heisel-Mangano, Jennifer is an individual health care provider with primary practice located at 129 5Th St Se , Barberton OH 44203-4204. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Heisel-Mangano, Jennifer can be contacted via phone (330) 631-0010.Contact Information
Primary practice address
129 5Th St Se
Barberton OH 44203-4204
Phone: (330) 631-0010
Fax: (330) 631-0011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT05017 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT05017 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT05017 | Ohio |
Profile Details
| NPI number | 1982694485 |
|---|---|
| LBN Legal business name | Heisel-Mangano, Jennifer |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Mar 10th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982694485 | NPPES |
| Ohio | Other | PT05017 | OT PT ATC BOARD |
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