Provider Demographics
NPI:1205035128
Name:STEGMAIER, DEBORAH GAIL
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:GAIL
Last Name:STEGMAIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 BROAD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-3030
Mailing Address - Country:US
Mailing Address - Phone:860-930-6381
Mailing Address - Fax:860-688-2275
Practice Address - Street 1:340 BROAD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-3030
Practice Address - Country:US
Practice Address - Phone:860-930-6381
Practice Address - Fax:860-688-2275
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002736225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist