Basic Information
Provider Information
NPI: 1275545261
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NORSTEBON
FirstName: MARGARET
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: L.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 HOUSTON STREET
Address2: SUITE 200
City: FORT WORTH
State: TX
PostalCode: 76102
CountryCode: US
TelephoneNumber: 8173360551
FaxNumber: 8173393940
Practice Location
Address1: 1000 HOUSTON STREET
Address2: SUITE 200
City: FORT WORTH
State: TX
PostalCode: 76102
CountryCode: US
TelephoneNumber: 8173360551
FaxNumber: 8173393940
Other Information
ProviderEnumerationDate: 08/12/2006
LastUpdateDate: 07/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1079051TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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