Healthcare Provider Details

I. General information

NPI: 1205869716
Provider Name (Legal Business Name): STEP AHEAD PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N 1ST ST SUITE 103
BURBANK CA
91502-1845
US

IV. Provider business mailing address

100 N 1ST ST SUITE 103
BURBANK CA
91502-1845
US

V. Phone/Fax

Practice location:
  • Phone: 818-846-7100
  • Fax: 818-846-7101
Mailing address:
  • Phone: 818-846-7100
  • Fax: 818-846-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC W ZIEGLER
Title or Position: PRESIDENT
Credential: P.T.
Phone: 818-846-7100