Individual provider · Type 1 NPI

Jill Anne Mandel, DPT

Pediatric Physical Therapist · Roosevelt, NY

NPI number 1053565168 Active

Practice location

380 Washington Ave
Roosevelt, NY 11575-1845

Call (516) 378-2000 Map

Mailing address

1643 Benedict Pl
North Baldwin, NY 11510-1712

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X028109-1 (NY)
Pediatric Physical Therapist 2251P0200X40QA01128500 (NJ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1053565168

Jill Anne Mandel, DPT's National Provider Identifier is 1053565168, issued on Nov 17, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Roosevelt, NY. The record was last updated on Nov 17, 2008.