Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 16786 | MD |
NPI | 1003328501 |
---|---|
Provider Name | Carolyn Steiner |
First Address | Lusby, MD 20657-2937 |
Second Address | Stevensville, MD 21666-2156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2017 |
Last Update Date | 25/10/2017 |