Healthcare Provider Details
I. General information
NPI: 1467599696
Provider Name (Legal Business Name): PAMELA J STEELMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/30/2007
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 WALLACE BLVD STE E
CINNAMINSON NJ
08077-2578
US
IV. Provider business mailing address
1311 MAMARONECK AVE STE 140
WHITE PLAINS NY
10605-5224
US
V. Phone/Fax
- Phone: 856-829-0015
- Fax: 856-829-0043
- Phone: 888-830-4125
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | QA02796 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT005144L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 40QA00279600 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: