Healthcare Provider Details
I. General information
NPI: 1548437601
Provider Name (Legal Business Name): STEVEN SESSION
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/08/2008
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 S EL CIELO RD SUITE I
PALM SPRINGS CA
92262-7926
US
IV. Provider business mailing address
400 S EL CIELO RD SUITE I
PALM SPRINGS CA
92262-7926
US
V. Phone/Fax
- Phone: 760-416-7153
- Fax: 760-416-0263
- Phone: 760-416-7153
- Fax: 760-416-0263
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225400000X |
| Taxonomy | Rehabilitation Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: