Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 21222 | MD |
N | 2251P0200X | Physical Therapist - Pediatrics | 21222 | MD |
NPI | 1215473368 |
---|---|
Provider Name | Joanna C Steele |
First Address | Grasonville, MD 21638-1024 |
Second Address | Stevensville, MD 21666-2156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2017 |
Last Update Date | 13/01/2017 |