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NPI Code Detail

MEDICARE: STEVEN H. SPEELER PT

MEDICARE: STEVEN H. SPEELER 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
12251X0800XOrthopedic Physical TherapistPT003393GA

General Provider Information

NPI Number : 1508821976
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN H. SPEELER PT
Provider Business Mailing Address
First Line : 3211 IRIS DR
Second Line :
City : COVINGTON
State : GA
Zip : 30016-0907
Country : US
Telephone Number : 770-787-2950
Fax Number : 770-781-3830
Provider Business Practice Location Address
First Line : 3211 IRIS DR
Second Line :
City : COVINGTON
State : GA
Zip : 30016-0907
Country : US
Telephone Number : 770-787-2950
Fax Number : 770-781-3830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/08/2008

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Directions to “ STEVEN H. SPEELER PT” Practice Location

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