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NPI Code Detail

MEDICARE: DR. KRISTIN M SIEGEL P.T.

MEDICARE: DR. KRISTIN M SIEGEL 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
1225100000XPhysical Therapist2305208463VA

General Provider Information

NPI Number : 1730398348
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN M SIEGEL P.T.
Provider Business Mailing Address
First Line : 304 RAINBOW DR
Second Line : 1ST FLOOR
City : STAUNTON
State : VA
Zip : 24401-2131
Country : US
Telephone Number : 215-990-9586
Fax Number :
Provider Business Practice Location Address
First Line : 1900 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-2304
Country : US
Telephone Number : 215-990-9586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 03/13/2017

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