Healthcare Provider Details

I. General information

NPI: 1437415643
Provider Name (Legal Business Name): STEPHANIE N TORSTENSEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7405 N CEDAR AVE 103
FRESNO CA
93720-3838
US

IV. Provider business mailing address

8525 N CEDAR AVE STE 109
FRESNO CA
93720-4833
US

V. Phone/Fax

Practice location:
  • Phone: 559-261-4100
  • Fax: 559-261-4101
Mailing address:
  • Phone: 559-440-9200
  • Fax: 559-440-9222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT38604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: