MEDICARE: MR. CHAD M SEEGERS MSPT

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	PT012695L	PA

General Provider Information

NPI Number	:	1063410819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHAD M SEEGERS MSPT

Provider Business Mailing Address
First Line	:	28 CRIMSON DR
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19401-1834
Country	:	US
Telephone Number	:	610-731-0129
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 CRIMSON DR
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19401-1834
Country	:	US
Telephone Number	:	610-731-0129
Fax Number	:

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	10/26/2011

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