Individual
MICHAEL KEVIN STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., M.O.M.T.
Contact information
Practice address
955 LANE AVE, STE 201, CHULA VISTA, CA 91914-3501
(619) 421-9521
Mailing address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT14452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00198154
RAILROAD MEDICARE
CA
01
—
PT14452
PHYSICAL THERAPY LICENSE
CA
Enumeration date
09/13/2006
Last updated
01/05/2023
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