Provider Demographics
NPI:1386847028
Name:RUNGE, MARGARET JEANNE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JEANNE
Last Name:RUNGE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:POST OFFICE BOX 62
Mailing Address - Street 2:18 SIMMONS STREET
Mailing Address - City:MILLERTON
Mailing Address - State:NY
Mailing Address - Zip Code:12546-0062
Mailing Address - Country:US
Mailing Address - Phone:518-789-6306
Mailing Address - Fax:518-789-3555
Practice Address - Street 1:18 SIMMONS STREET
Practice Address - Street 2:
Practice Address - City:MILLERTON
Practice Address - State:NY
Practice Address - Zip Code:12546-0062
Practice Address - Country:US
Practice Address - Phone:518-789-6306
Practice Address - Fax:518-789-3555
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0088431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist