Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 16842 | CA |
NPI | 1013112408 |
---|---|
Provider Name | Mrs. Laurie June Steinecke |
First Address | San Marcos, CA 92078-1376 |
Second Address | San Marcos, CA 92078-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 03/12/2021 |