Provider Demographics
NPI:1366496788
Name:STEINBAUM, SHARIMAE O (PT)
Entity Type:Individual
Prefix:MS
First Name:SHARIMAE
Middle Name:O
Last Name:STEINBAUM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 N NEW RIVER DR E
Mailing Address - Street 2:#1601
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3131
Mailing Address - Country:US
Mailing Address - Phone:954-260-1594
Mailing Address - Fax:954-764-6516
Practice Address - Street 1:347 N NEW RIVER DR E
Practice Address - Street 2:#1601
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3131
Practice Address - Country:US
Practice Address - Phone:954-260-1594
Practice Address - Fax:954-764-6516
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3651Medicare ID - Type Unspecified