Provider Demographics
NPI:1275689754
Name:HUEGEL, CAROL A (PT)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:HUEGEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W RITTENHOUSE SQ APT 7E
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6841
Mailing Address - Country:US
Mailing Address - Phone:352-871-7749
Mailing Address - Fax:352-331-3966
Practice Address - Street 1:1528 WALNUT ST STE 403
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3626
Practice Address - Country:US
Practice Address - Phone:215-545-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022715225100000X
FLPT2449225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL880205000Medicaid
FLY2748OtherBCBS