MEDICARE: FRANCESCA LOUISE GRUENBERG PELEA RPT

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
1	225100000X	Physical Therapist	PT37944	CA
2	225100000X	Physical Therapist	1317418	TX

General Provider Information

NPI Number	:	1982950820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCESCA LOUISE GRUENBERG PELEA RPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	3314 HULEN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6173
Country	:	US
Telephone Number	:	682-382-1832
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	04/07/2025

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