Provider Demographics
NPI:1467463372
Name:CROUSE, STEPHEN (RPT)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:CROUSE
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 W LA PALMA AVE STE 506
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2812
Mailing Address - Country:US
Mailing Address - Phone:714-491-3670
Mailing Address - Fax:714-533-6760
Practice Address - Street 1:1211 W LA PALMA AVE STE 506
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2812
Practice Address - Country:US
Practice Address - Phone:714-491-3670
Practice Address - Fax:714-533-6760
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist