Basic Information
Provider Information
NPI: 1548523004
EntityType: 2
ReplacementNPI:  
OrganizationName: STEGER PHYSICAL THERAPY PLLC
LastName:  
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Credential:  
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Mailing Information
Address1: 3058 CLASSEN BLVD
Address2: STE 100
City: NORMAN
State: OK
PostalCode: 730714042
CountryCode: US
TelephoneNumber: 4053189853
FaxNumber:  
Practice Location
Address1: 419 W GRAY ST
Address2:  
City: NORMAN
State: OK
PostalCode: 730697117
CountryCode: US
TelephoneNumber: 4058094222
FaxNumber: 4053645379
Other Information
ProviderEnumerationDate: 06/20/2012
LastUpdateDate: 06/20/2012
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: STEGER
AuthorizedOfficialFirstName: GERARD
AuthorizedOfficialMiddleName: CHARLES
AuthorizedOfficialTitleorPosition: SOLE MEMBER
AuthorizedOfficialTelephone: 4053189853
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix: II
AuthorizedOfficialCredential: DPT
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800X4151OKY193400000X SINGLE SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


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