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NPI Code Detail

MEDICARE: DONNA LOUISE ZIEGLER PT

MEDICARE: DONNA LOUISE ZIEGLER 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 TherapistPT2007FL

General Provider Information

NPI Number : 1184629560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA LOUISE ZIEGLER PT
Provider Business Mailing Address
First Line : 1325 SAN MARCO BLVD
Second Line : SUITE 701
City : JACKSONVILLE
State : FL
Zip : 32207-8568
Country : US
Telephone Number : 904-858-6418
Fax Number : 904-858-6490
Provider Business Practice Location Address
First Line : 1325 SAN MARCO BLVD
Second Line : STE 102
City : JACKSONVILLE
State : FL
Zip : 32207-8549
Country : US
Telephone Number : 904-858-7045
Fax Number : 904-858-7047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 07/08/2007

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Directions to “ DONNA LOUISE ZIEGLER PT” Practice Location

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