Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | PT009160L | PA |
Y | 2251G0304X | Physical Therapist - Geriatrics | PT010594 | OH |
NPI | 1114079506 |
---|---|
Provider Name | Mr. Stephen Joseph Renschler |
First Address | Beaver Falls, PA 15010-1057 |
Second Address | Youngstown, OH 44512-3457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |