Provider Demographics
NPI:1669863635
Name:STEFFENS, STEPHANIE (LATC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:STEFFENS
Suffix:
Gender:F
Credentials:LATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 POST RD E
Mailing Address - Street 2:REHAB ASSOCIATES INC
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5200
Mailing Address - Country:US
Mailing Address - Phone:203-984-0443
Mailing Address - Fax:
Practice Address - Street 1:728 POST RD E
Practice Address - Street 2:REHAB ASSOCIATES INC
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5200
Practice Address - Country:US
Practice Address - Phone:203-984-0443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0004322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer