Provider Demographics
NPI:1801993845
Name:STROBEL, TRACY GAGNON (MPT)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:GAGNON
Last Name:STROBEL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:ANNE
Other - Last Name:SPIEGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:4955 STEUBENVILLE PIKE
Mailing Address - Street 2:STE 110
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9619
Mailing Address - Country:US
Mailing Address - Phone:412-722-1180
Mailing Address - Fax:412-722-1160
Practice Address - Street 1:4955 STEUBENVILLE PIKE
Practice Address - Street 2:STE 110
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205
Practice Address - Country:US
Practice Address - Phone:412-722-1180
Practice Address - Fax:412-722-1160
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013479L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist