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NPI Code Detail

MEDICARE: JEANINE SIGAL SEEWALD PTA

MEDICARE:   JEANINE SIGAL SEEWALD  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA-0756NV

General Provider Information

NPI Number : 1508269325
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE SIGAL SEEWALD PTA
Provider Business Mailing Address
First Line : 5310 KIETZKE LN STE 104
Second Line :
City : RENO
State : NV
Zip : 89511-2043
Country : US
Telephone Number : 775-348-8800
Fax Number : 833-687-1419
Provider Business Practice Location Address
First Line : 9480 DOUBLE DIAMOND PKWY STE 200
Second Line :
City : RENO
State : NV
Zip : 89521-5842
Country : US
Telephone Number : 775-348-8800
Fax Number : 833-687-1419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2014
Last Update Date : 07/25/2024

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Directions to “ JEANINE SIGAL SEEWALD PTA” Practice Location

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