Healthcare Provider Details

I. General information

NPI: 1225185994
Provider Name (Legal Business Name): PASTEUR SENIOR CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 WASHINGTON RD
WESTMINSTER MD
21157-5640
US

IV. Provider business mailing address

174 WILLIS ST
WESTMINSTER MD
21157-5133
US

V. Phone/Fax

Practice location:
  • Phone: 240-372-0614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number18685
License Number StateMD

VIII. Authorized Official

Name: KRISTINA PASTEUR
Title or Position: CFO
Credential:
Phone: 240-367-6355