Donna Liegel

Individual provider Active NPI Physical Therapist · Heathrow, FL

NPI 1346541851 · NPPES record last updated Nov 15, 2010

Key facts

NPI
1346541851
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
3918 (NM)
Practice address
1485 International Pkwy
Heathrow, FL 32746-5303
Phone
(800) 798-6035
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3918NMMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3918 NM Yes

Addresses

Primary practice location

1485 International Pkwy
Heathrow, FL 32746-5303

Mailing address

1485 International Pkwy
Heathrow, FL 32746-5303
Phone (800) 798-6035

Other providers in Heathrow, FL

All providers in Heathrow, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.