Provider Demographics
NPI:1023224003
Name:STEINER, TINA L (OTR)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:L
Last Name:STEINER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19368 RONNERUDE LN
Mailing Address - Street 2:
Mailing Address - City:BLANCHARDVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53516-9370
Mailing Address - Country:US
Mailing Address - Phone:608-776-8066
Mailing Address - Fax:
Practice Address - Street 1:19368 RONNERUDE LN
Practice Address - Street 2:
Practice Address - City:BLANCHARDVILLE
Practice Address - State:WI
Practice Address - Zip Code:53516-9370
Practice Address - Country:US
Practice Address - Phone:608-776-8066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI962-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist