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NPI Code Detail

MEDICARE: JENNIFER L STRIEBIG PTA

MEDICARE: JENNIFER L STRIEBIG 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 AssistantTE000192LPA

General Provider Information

NPI Number : 1114178605
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L STRIEBIG PTA
Provider Business Mailing Address
First Line : 626 CHAPEL CHURCH RD
Second Line :
City : RED LION
State : PA
Zip : 17356-9268
Country : US
Telephone Number : 717-246-2736
Fax Number :
Provider Business Practice Location Address
First Line : 2400 KINGSTON CT
Second Line :
City : YORK
State : PA
Zip : 17402-3650
Country : US
Telephone Number : 717-755-8811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2008
Last Update Date : 10/02/2008

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