Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT030133 | PA |
NPI | 1003472119 |
---|---|
Provider Name | Emily Steckbeck |
First Address | Lebanon, PA 17042-9549 |
Second Address | Lebanon, PA 17042-9549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2019 |
Last Update Date | 04/02/2022 |