MEDICARE: MRS. REBECCA STEINMETZ 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	2251P0200X	Pediatric Physical Therapist	009835-1	NY

General Provider Information

NPI Number	:	1588819049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA STEINMETZ PT

Provider Business Mailing Address
First Line	:	15006 77TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-3126
Country	:	US
Telephone Number	:	718-380-7970
Fax Number	:	718-380-7970

Provider Business Practice Location Address
First Line	:	15006 77TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-3126
Country	:	US
Telephone Number	:	917-660-6825
Fax Number	:

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

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	11/25/2008

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