Provider Demographics
NPI:1003936469
Name:VAN STEELANDT, CINDY LEE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:LEE
Last Name:VAN STEELANDT
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3934 ROBIN HILL RD
Mailing Address - Street 2:
Mailing Address - City:LA CANADA FLINTRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3808
Mailing Address - Country:US
Mailing Address - Phone:818-952-5372
Mailing Address - Fax:
Practice Address - Street 1:3934 ROBIN HILL RD
Practice Address - Street 2:
Practice Address - City:LA CANADA FLINTRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91011-3808
Practice Address - Country:US
Practice Address - Phone:818-952-5372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT16955225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT16955OtherPT LICENSE