Provider Demographics
NPI:1700401445
Name:STEFFEN, AVA (DPT)
Entity Type:Individual
Prefix:
First Name:AVA
Middle Name:
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 KREMEYER CIR APT 8
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1648
Mailing Address - Country:US
Mailing Address - Phone:720-251-1370
Mailing Address - Fax:
Practice Address - Street 1:42080 STATE ST
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-5173
Practice Address - Country:US
Practice Address - Phone:760-568-2894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist