| Doctor Name: | MS. REGINA MASTRANGELO |
| NPI Number: | 1063630069 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CMF |
| License Number: | 070355UO |
| Business Practice Address: | 36 Chestnut Rd Paoli, PA - 193011565 |
| Business Phone Number: | 6102967626 |
| Business Fax Number: | 6102967620 |
| Mailing Address: | 828 Hinchley Run, WEST CHESTER |
| State: | PA |
| Postal Code: | 193827984 |
| Phone Number: | 6103447112 |
| Fax Number: | 6102967620 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | 070355UO |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |