Provider Demographics
NPI:1639396153
Name:MAH, STEVEN D (DPT)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:MAH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 RIVERCHASE DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5721
Mailing Address - Country:US
Mailing Address - Phone:813-597-7633
Mailing Address - Fax:
Practice Address - Street 1:9720 RIVERCHASE DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5721
Practice Address - Country:US
Practice Address - Phone:813-597-7633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT221532251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic