Healthcare Provider Details

I. General information

NPI: 1912227448
Provider Name (Legal Business Name): KATHRYN ANN STEINER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ROOSEVELT PL UNIT A
VALPARAISO IN
46383-3707
US

IV. Provider business mailing address

1200 ROOSEVELT PL UNIT A
VALPARAISO IN
46383-3707
US

V. Phone/Fax

Practice location:
  • Phone: 219-548-4663
  • Fax: 219-477-5920
Mailing address:
  • Phone: 219-548-4663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31004967A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: