| Doctor Name: | JENNA L MANG |
| NPI Number: | 1225366693 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT018602 |
| Business Practice Address: | 200 E State St Ste 108 Media, PA - 190633434 |
| Business Phone Number: | 4844440820 |
| Business Fax Number: | |
| Mailing Address: | 200 E State St, Ste 108 MEDIA |
| State: | PA |
| Postal Code: | 190633434 |
| Phone Number: | 4844440820 |
| Fax Number: | |
| NPI Enumeration Date: | 11/24/2009 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT018602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |