Provider Demographics
NPI:1306097720
Name:STEGER, GERARD CHARLES II (DPT)
Entity type:Individual
Prefix:
First Name:GERARD
Middle Name:CHARLES
Last Name:STEGER
Suffix:II
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:
Other - Last Name:STEGER
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:2475 BOARDWALK
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6332
Mailing Address - Country:US
Mailing Address - Phone:405-447-1991
Mailing Address - Fax:405-447-1198
Practice Address - Street 1:2475 BOARDWALK
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6332
Practice Address - Country:US
Practice Address - Phone:405-447-1991
Practice Address - Fax:405-447-1198
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4151225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200225330AMedicaid
OKOK401847Medicare PIN