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NPI Code Detail

MEDICARE: ERIC JAMES STRIEGEL DPT

MEDICARE: ERIC JAMES STRIEGEL DPT
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 TherapistPT-27069FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT-27069OTHERFLFL. STATE LICENSE NUMBER

General Provider Information

NPI Number : 1427328491
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC JAMES STRIEGEL DPT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1065 E TUCSON MARKETPLACE BLVD # 155
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6563
Country : US
Telephone Number : 520-822-8640
Fax Number : 520-822-8641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2012
Last Update Date : 06/05/2024

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Directions to “ ERIC JAMES STRIEGEL DPT” Practice Location

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