Doctor Name: | MRS. JEWELL EW MENGE |
NPI Number: | 1124162011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 0000330 |
Business Practice Address: | 1520 Jenks Ave Panama City, FL - 324054646 |
Business Phone Number: | 8507850264 |
Business Fax Number: | 8507851410 |
Mailing Address: | 13860 Allanton Rd, PANAMA CITY |
State: | FL |
Postal Code: | 324042845 |
Phone Number: | 8508713271 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0000330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |