Provider Demographics
NPI:1285838466
Name:DAVID, STEVE ANTHONY (PT)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:ANTHONY
Last Name:DAVID
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 N CHARLES ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4301
Mailing Address - Country:US
Mailing Address - Phone:410-837-0440
Mailing Address - Fax:410-837-3600
Practice Address - Street 1:336 N CHARLES ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4301
Practice Address - Country:US
Practice Address - Phone:410-837-0440
Practice Address - Fax:410-837-3600
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist