Healthcare Provider Details

I. General information

NPI: 1194266007
Provider Name (Legal Business Name): STEVEN OSWALD PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2017
Last Update Date: 03/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 DISTRICT BLVD A
BAKERSFIELD CA
93313-4844
US

IV. Provider business mailing address

8302 ESPRESSO DR 100
BAKERSFIELD CA
93312-5687
US

V. Phone/Fax

Practice location:
  • Phone: 661-377-1700
  • Fax: 661-616-9199
Mailing address:
  • Phone: 661-378-8122
  • Fax: 661-616-9199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT292894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: