Mandacina, Gina Marie
Mandacina, Gina Marie is an individual health care provider with primary practice located at 10300 W 103Rd St Suite 300, Overland Park KS 66214-2642. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mandacina, Gina Marie can be contacted via phone (913) 894-1910.Contact Information
Primary practice address
10300 W 103Rd St Suite 300
Overland Park KS 66214-2642
Phone: (913) 894-1910
Fax: (913) 894-1174
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1400118 | Kansas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 117092 | Missouri |
Profile Details
NPI number | 1306972435 |
---|---|
LBN Legal business name | Mandacina, Gina Marie |
Credentials | C.P.T.A. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 25th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1306972435 | NPPES |
Kansas | Other | 14-00118 | 14-00118 |
Kansas | Other | 117092 | 14-00118 |
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