Mandel, Laurie Joan
Mandel, Laurie Joan is an individual health care provider with primary practice located at 2101 Nagle Rd Attn Trac Rehab East, Erie PA 16510-2189. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mandel, Laurie Joan can be contacted via phone (814) 877-7078.Contact Information
Primary practice address
2101 Nagle Rd Attn Trac Rehab East
Erie PA 16510-2189
Phone: (814) 877-7078
Fax: (814) 899-5484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT006400L | Pennsylvania |
Profile Details
| NPI number | 1790785483 |
|---|---|
| LBN Legal business name | Mandel, Laurie Joan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | May 6th, 2008 - about 17 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 | 1790785483 | NPPES |
| Pennsylvania | MEDICAID | 0016911470011 | |
| Pennsylvania | Other | 274486 | |
| Pennsylvania | Other | P00111381 | |
| Pennsylvania | Other | 00025348902 | |
| Pennsylvania | Other | 3110693 |
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