Gina Marie Mandacina in Overland Park - Physical Therapy Assistant
Gina Marie Mandacina - NPI 1306972435
Gina Marie Mandacina is a Physical Therapy Assistant in Overland Park, Kansas. Gina Marie Mandacina practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Gina Marie Mandacina is 1306972435. The last update date is 2007-07-08.
Gina Marie Mandacina's current location address is 10300 W 103rd St, Overland Park, Kansas. You can contact this provider via phone number 9138941910 and fax number 9138941174. The mailing address for Gina Marie Mandacina is 10300 W 103rd St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Marie Mandacina |
|---|---|
| Address | 10300 W 103rd St, Overland Park, Kansas |
| Phone Number | 9138941910 |
| Fax Number | 9138941174 |
| Sole Proprietor | N |
| Credentials | C.P.T.A. |
NPI Number Detail
| NPI Number | 1306972435 |
|---|---|
| Provider Enumeration Date | 2007-02-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10300 W 103rd St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662142642 |
| Phone Number | 9138941910 |
| Fax Number | 9138941174 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1400118 |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14-00118 | KS | 14-00118 | |
| 117092 | MO | 117092 |
Post Comment/ Review Below
What is the unique identifier code issued to Gina Marie Mandacina by the Centers for Medicare & Medicaid Services?
The Gina Marie Mandacina has been assigned the NPI (National Provider Identifier) 1306972435. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gina Marie Mandacina?
The Gina Marie Mandacina is physically situated at 10300 W 103Rd St, in the city of Overland Park, state of KS, with the postal code 662142642.
What is the Gina Marie Mandacina's specialty and taxonomy code?
The Gina Marie Mandacina's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306972435 to Gina Marie Mandacina?
The Centers for Medicare & Medicaid Services originally issued the 1306972435 to Gina Marie Mandacina on 2007-02-25.
When was the information related to Gina Marie Mandacina most recently updated or refreshed?
The details pertaining to the Gina Marie Mandacina, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1689677379
Address: 1710 S 70th St, Lincoln, NE
NPI Number: 1861494080
Address: 6399 Directors Pkwy, Abilene, TX
NPI Number: 1437145794
Address: 2500 E Prospect Rd, Fort Collins, CO