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NPI Code Detail

MEDICARE: STEVEN JOSEPH MARCINKOWSKI

MEDICARE: STEVEN JOSEPH MARCINKOWSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT13452CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10PT134520OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1225037625
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN JOSEPH MARCINKOWSKI
Provider Business Mailing Address
First Line : 3675 MT DIABLO BLVD STE 110
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-3774
Country : US
Telephone Number : 925-284-4486
Fax Number : 925-362-4236
Provider Business Practice Location Address
First Line : 3675 MT DIABLO BLVD STE 110
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-3774
Country : US
Telephone Number : 925-284-4486
Fax Number : 925-362-4236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 05/27/2025

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Directions to “ STEVEN JOSEPH MARCINKOWSKI ” Practice Location

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