MEDICARE: JONATHAN STEINER MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1135788	TX

General Provider Information

NPI Number	:	1215142278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN STEINER MPT

Provider Business Mailing Address
First Line	:	11218 WOODRIDGE PATH
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3148
Country	:	US
Telephone Number	:	210-691-9798
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 CRESTWAY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78239-3098
Country	:	US
Telephone Number	:	210-646-5284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2007
Last Update Date	:	07/08/2007

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