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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982694485 NPPES
Ohio Other PT05017 OT PT ATC BOARD

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