Provider Demographics
NPI:1093795874
Name:STROBEL, REGINA MARIE (MSPT)
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:MARIE
Last Name:STROBEL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-6001
Mailing Address - Country:US
Mailing Address - Phone:610-630-8878
Mailing Address - Fax:610-630-1976
Practice Address - Street 1:2525 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-6001
Practice Address - Country:US
Practice Address - Phone:610-630-8878
Practice Address - Fax:610-630-1976
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013763L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1607814OtherBLUE SHIELD
PA1608923OtherPERSONL CHOICE
PA1607814OtherBLUE SHIELD
PA078765Medicare ID - Type Unspecified