Provider Demographics
NPI:1104092360
Name:STEINHAUER, EMILY R (CTRS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:R
Last Name:STEINHAUER
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 RUSS ST
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2213
Mailing Address - Country:US
Mailing Address - Phone:207-498-3820
Mailing Address - Fax:207-498-3591
Practice Address - Street 1:7 RUSS ST
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2213
Practice Address - Country:US
Practice Address - Phone:207-498-3820
Practice Address - Fax:207-498-3591
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILCTRS-53139225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist