MEDICARE: MS. SHARIMAE O STEINBAUM 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	1215	FL

General Provider Information

NPI Number	:	1366496788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARIMAE O STEINBAUM PT

Provider Business Mailing Address
First Line	:	347 N NEW RIVER DR E
Second Line	:	#1601
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-3131
Country	:	US
Telephone Number	:	954-260-1594
Fax Number	:	954-764-6516

Provider Business Practice Location Address
First Line	:	347 N NEW RIVER DR E
Second Line	:	#1601
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-3131
Country	:	US
Telephone Number	:	954-260-1594
Fax Number	:	954-764-6516

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/08/2007

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