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Individual
MR. STEVEN JAMES PETTINEO
Active
Individual
MR. STEVEN JAMES PETTINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, DPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012797L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102167301-0001
—
PA
01
—
1629010525
BRAVO
PA
01
—
2060042
HIGHMARK BLUE SHIELD
PA
01
—
2276127
UNITED HEALTH CARE
PA
01
—
40384PT012797L
HEALTH PARTNERS
PA
01
—
877240
HEALTH AMERICA HEALTH ASSURANCE / COVENTRY
PA
Enumeration date
06/12/2006
Last updated
10/09/2023
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