Healthcare Provider Details

I. General information

NPI: 1811312069
Provider Name (Legal Business Name): ANDREA STEHMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2014
Last Update Date: 02/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WEST SHORE BLVD
TAMPA FL
33609-1140
US

IV. Provider business mailing address

1860 N MOON VALLEY PL
TUCSON AZ
85745-9657
US

V. Phone/Fax

Practice location:
  • Phone: 813-371-3421
  • Fax:
Mailing address:
  • Phone: 717-682-8944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number38859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: