Doctor Name: | MRS. LYNNE A MANGINI |
NPI Number: | 1578745436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA00569200 |
Business Practice Address: | 116 Oceanport Avenue Bldg 2 Little Silver, NJ - 077391211 |
Business Phone Number: | 7327580002 |
Business Fax Number: | 7322190979 |
Mailing Address: | 116 Oceanport Avenue, Bldg 2 LITTLE SILVER |
State: | NJ |
Postal Code: | 077391211 |
Phone Number: | 7327580002 |
Fax Number: | 7322190979 |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 12/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00569200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |