Individual
JADE MICHAEL MINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5035 CLAIRTON BLVD, PITTSBURGH, PA 15236-2103
(412) 440-0142
Mailing address
926 HEIDI GREY RD, HUGHESVILLE, PA 17737-8832
(570) 546-5489
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011991
PA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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