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NPI Code Detail

MEDICARE: JEANNE GIAMPA PT

MEDICARE:   JEANNE  GIAMPA  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 Therapist070006761IL

General Provider Information

NPI Number : 1295941268
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE GIAMPA PT
Provider Business Mailing Address
First Line : 586 SHEPARD ST
Second Line :
City : RHINELANDER
State : WI
Zip : 54501-3552
Country : US
Telephone Number : 715-365-5252
Fax Number :
Provider Business Practice Location Address
First Line : 5150 NORTHWEST HWY
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-8058
Country : US
Telephone Number : 815-455-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 06/28/2021

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Directions to “ JEANNE GIAMPA PT” Practice Location

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