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NPI Code Detail

MEDICARE: CHANCE LAWRENCE ZIEGLER

MEDICARE: CHANCE LAWRENCE ZIEGLER
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 Therapist
22251X0800XOrthopedic Physical Therapist33062AZ
32251X0800XOrthopedic Physical TherapistCP033139TCO

General Provider Information

NPI Number : 1467197285
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANCE LAWRENCE ZIEGLER
Provider Business Mailing Address
First Line : 4356 E COCONINO ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-3208
Country : US
Telephone Number : 330-321-8683
Fax Number :
Provider Business Practice Location Address
First Line : 8500 W CRESTLINE AVE UNIT G5
Second Line :
City : LITTLETON
State : CO
Zip : 80123-2222
Country : US
Telephone Number : 303-971-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2022
Last Update Date : 09/18/2024

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Directions to “ CHANCE LAWRENCE ZIEGLER ” Practice Location

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