National Provider Identifier

Jolie Mandell, PT

Jolie Mandell, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fredonia, NY and a listed phone number of (716) 680-8180.

NPI 1902996051Fredonia, NYPhysical Therapist

Profile Overview

NPI
1902996051
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 12, 2006
Last Updated
December 10, 2025

Practice Location

  • 276 W Main St
  • Fredonia, NY 14063-2234

Phone: (716) 680-8180

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1902996051
Entity Type
Individual
Last Name
Mandell
First Name
Jolie
Credential
PT
Provider Other Last Name
Lange
Provider Other First Name
Jolie
Provider Other Credential Text
PT
Provider Other Last Name Type Code
5
Mailing Street Address
276 W Main St
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-2234
Mailing Country
US
Mailing Phone
(716) 680-8180
Mailing Fax
(716) 680-8181
Practice Street Address
276 W Main St
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-2234
Practice Country
US
Practice Phone
(716) 680-8180
Practice Fax
(716) 680-8181
Enumeration Date
October 12, 2006
Last Updated
December 10, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
December 10, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)