Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA2789 | AR |
NPI | 1013576743 |
---|---|
Provider Name | Jennifer Steinauer |
First Address | Fayetteville, AR 72703-1908 |
Second Address | Fayetteville, AR 72703-1908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2019 |
Last Update Date | 06/06/2019 |