Individual
MR. STEVEN M SCHWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA PT
Contact information
Practice address
4102 E 82 N, RIGBY, ID 83442-5894
(208) 745-8580
(208) 745-8580
Mailing address
4102 E 82 N, RIGBY, ID 83442-5894
(208) 745-8580
(208) 745-8580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-236
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002591700
—
ID
05
—
806469200
—
ID
01
—
T-6865
BX PROVIDER ID
ID
Enumeration date
04/12/2007
Last updated
07/01/2008
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