NPI 1285017608

Jennin Mary Nangle

Practitioner Recreation Therapist Lake Ronkonkoma, NY

Practice location

Address: 15 Borman CT, Lake Ronkonkoma, NY 11779-1982
Phone: (631) 484-2020

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in New York →

Registry record

NPI: 1285017608
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2015
Record last updated: 30 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.