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Organization
STONEMOUNTAIN PHYSICAL THERAPY
Active
Organization
STONEMOUNTAIN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L STEINBERG P.T. (OWNER)
(661) 823-8101
Entity
Organization
Contact information
Practice address
21628 GOLDEN STAR BLVD, TEHACHAPI, CA 93561-8607
(661) 823-8101
(661) 823-8108
Mailing address
21628 GOLDEN STAR BLVD, TEHACHAPI, CA 93561-8607
(661) 823-8101
(661) 823-8108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT3215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396918504
INDIVIDUAL MEDICARE NPI
—
01
—
BU979Z
MEDICARE PTAN
—
Enumeration date
09/23/2009
Last updated
03/08/2010
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