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General NPI Number Information
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NPI Number | 1134553407
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Entity Type | Organization
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Legal Business Name | KERRI A. KRIEGER, DPT, PA
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 1250 SE PORT ST LUCIE BLVD SUITE A
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5385
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Country | US
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Telephone | 772-485-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 SE PORT ST LUCIE BLVD SUITE A
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5385
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Country | US
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Telephone | 772-485-6100
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. KERRI A KRIEGER
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Credential | DPT
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Telephone | 772-485-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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