Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1170939 | TX |
N | 225100000X | Physical Therapist | PT26493 | CA |
N | 2251E1200X | Ergonomics | PT26493 | CA |
N | 225XE1200X | Ergonomics | PT26493 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT26493 | CA |
N | 2251H1200X | Hand | PT26493 | CA |
N | 2251N0400X | Physical Therapist - Neurology | PT26493 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | PT26493 | CA |
N | 2251S0007X | Physical Therapist - Sports | PT26493 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT26493 | CA |
NPI | 1710096581 |
---|---|
Provider Name | Mr. Steven M Biorn |
First Address | Bedford, TX 76022-5928 |
Second Address | Bedford, TX 76022-5928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 21/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1170939 | PT LICENSE (01) | TX |
P53874 | (02) | CA |
PT26493 | PT LICENSE NUMBER (01) | CA |