Brad Koegel

NPI #1912399189 in Astoria, New York

Provider Information

NPI Number: 1912399189
Entity Type: Individual
Name: Brad Koegel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 25, 2015
Last Updated: Nov 12, 2020

Practice Location

Address: 30-46 35TH STREET
City: Astoria
State: New York
ZIP Code: 11103
Phone: (516) 425-3112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Physical Therapist	225100000X	Primary

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