MEDICARE: HOLLY STEINBERG PT

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	2599	MA

General Provider Information

NPI Number	:	1356320444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY STEINBERG PT

Provider Business Mailing Address
First Line	:	789 MAIN ST STE 4
Second Line	:	GREAT BARRINGTON PHYSICAL THERAPY, INC.
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-2217
Country	:	US
Telephone Number	:	413-528-0929
Fax Number	:	413-528-6123

Provider Business Practice Location Address
First Line	:	789 MAIN ST STE 4
Second Line	:	GREAT BARRINGTON PHYSICAL THERAPY, INC.
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-2217
Country	:	US
Telephone Number	:	413-528-0929
Fax Number	:	413-528-6123

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	10/17/2012

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