Basic Information
Provider Information
NPI: 1245710128
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEIN
FirstName: NATALIE
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3313 LANCASTER DR
Address2:  
City: STATESVILLE
State: NC
PostalCode: 286254633
CountryCode: US
TelephoneNumber: 7044020067
FaxNumber:  
Practice Location
Address1: 4687 BOYLSTON HWY
Address2:  
City: MILLS RIVER
State: NC
PostalCode: 287596731
CountryCode: US
TelephoneNumber: 8288900040
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/20/2018
LastUpdateDate: 08/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XP18197NCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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