Provider Demographics
NPI:1588819049
Name:STEINMETZ, REBECCA (PT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:STEINMETZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:PRESCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15006 77TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3126
Mailing Address - Country:US
Mailing Address - Phone:718-380-7970
Mailing Address - Fax:718-380-7970
Practice Address - Street 1:15006 77TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3126
Practice Address - Country:US
Practice Address - Phone:917-660-6825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009835-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics