Provider Demographics
NPI:1962489021
Name:STEINBORN, MONICA SUE (LAT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:SUE
Last Name:STEINBORN
Suffix:
Gender:F
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31786 120TH ST
Mailing Address - Street 2:
Mailing Address - City:LOHRVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51453-8014
Mailing Address - Country:US
Mailing Address - Phone:712-656-2218
Mailing Address - Fax:
Practice Address - Street 1:503 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-2739
Practice Address - Country:US
Practice Address - Phone:712-792-4000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer