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NPI Code Detail

MEDICARE: THOMAS KIGER PT

MEDICARE: THOMAS KIGER PT
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 TherapistJ1-0001136DE
2225100000XPhysical TherapistPT006664-LPA

General Provider Information

NPI Number : 1114972643
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS KIGER PT
Provider Business Mailing Address
First Line : 450 PARK WAY
Second Line : SUITE 300
City : BROOMALL
State : PA
Zip : 19008-4202
Country : US
Telephone Number : 484-422-8080
Fax Number : 484-422-8080
Provider Business Practice Location Address
First Line : 901 W ASHLAND AVE
Second Line :
City : GLENOLDEN
State : PA
Zip : 19036-1101
Country : US
Telephone Number : 610-461-6450
Fax Number : 610-461-0142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 07/20/2010

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