Provider Demographics
NPI:1063703015
Name:STEINER, MARLA MARIA (MS, PTA)
Entity type:Individual
Prefix:MS
First Name:MARLA
Middle Name:MARIA
Last Name:STEINER
Suffix:
Gender:F
Credentials:MS, PTA
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Mailing Address - Street 1:41 SEA WINDS LN S
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-2734
Mailing Address - Country:US
Mailing Address - Phone:904-868-6609
Mailing Address - Fax:904-285-0638
Practice Address - Street 1:151 SAWGRASS CORNERS DR
Practice Address - Street 2:SUITE 117
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-3553
Practice Address - Country:US
Practice Address - Phone:904-371-4649
Practice Address - Fax:888-393-1099
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL20371PTA225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant