Provider Demographics
NPI:1083104814
Name:FRANCESANGELO, GINA LAUSIN (DPT)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:LAUSIN
Last Name:FRANCESANGELO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BARRINGTON TOWN SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-7792
Mailing Address - Country:US
Mailing Address - Phone:330-562-1655
Mailing Address - Fax:330-562-1653
Practice Address - Street 1:108 BARRINGTON TOWN SQUARE DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-7792
Practice Address - Country:US
Practice Address - Phone:330-562-1655
Practice Address - Fax:330-562-1653
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist