Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 2844 | OR |
N | 225100000X | Physical Therapist | PT-2044 | ID |
N | 2251G0304X | Physical Therapist - Geriatrics | PT0009329 | WA |
NPI | 1396943189 |
---|---|
Provider Name | Mr. Steve F Pfandl |
First Address | Olympia, WA 98513-4558 |
Second Address | Olympia, WA 98513-4558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 08/07/2007 |