Provider Demographics
NPI:1396918504
Name:STEINBERG, DANIEL (PT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21628 GOLDEN STAR BLVD
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-8902
Mailing Address - Country:US
Mailing Address - Phone:661-823-8101
Mailing Address - Fax:661-823-8108
Practice Address - Street 1:21628 GOLDEN STAR BLVD
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-8902
Practice Address - Country:US
Practice Address - Phone:661-823-8101
Practice Address - Fax:661-823-8108
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT3215174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist