MEDICARE: MRS. MARIA D. PIEFFER P.T.

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
1	225100000X	Physical Therapist	PT 008509L	PA

General Provider Information

NPI Number	:	1619126406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA D. PIEFFER P.T.

Provider Business Mailing Address
First Line	:	206 WHITE OAK PL
Second Line	:
City	:	MARS
State	:	PA
Zip	:	16046-3946
Country	:	US
Telephone Number	:	724-772-5531
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 WHITE OAK PL
Second Line	:
City	:	MARS
State	:	PA
Zip	:	16046-3946
Country	:	US
Telephone Number	:	724-772-5531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2008
Last Update Date	:	09/16/2008

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