IndividualActive
Jennin Nangle
NPI 1285017608 · Recreation Therapist · Lake Ronkonkoma, NY
Provider details
- NPI number
- 1285017608
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
15 Borman Ct
Lake Ronkonkoma, NY 11779-1982
Registry dates
- Enumerated
- 2015-07-02
- Last updated
- 2015-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.