Healthcare Provider Details

I. General information

NPI: 1851616130
Provider Name (Legal Business Name): ROBERT F STUEVE PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 EL CAMINO REAL
CARLSBAD CA
92008-2108
US

IV. Provider business mailing address

3602 VIA ALICIA
OCEANSIDE CA
92056-7210
US

V. Phone/Fax

Practice location:
  • Phone: 760-720-9898
  • Fax:
Mailing address:
  • Phone: 760-631-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number27768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: