Provider Demographics
NPI:1245266485
Name:SLANE, STEPHEN M (MS PT)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:M
Last Name:SLANE
Suffix:
Gender:M
Credentials:MS PT
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Mailing Address - Street 1:189 KATHERINE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-1016
Mailing Address - Country:US
Mailing Address - Phone:412-719-7315
Mailing Address - Fax:
Practice Address - Street 1:703 MILLERS LANE
Practice Address - Street 2:
Practice Address - City:PLUM
Practice Address - State:PA
Practice Address - Zip Code:15239
Practice Address - Country:US
Practice Address - Phone:412-198-1041
Practice Address - Fax:412-798-1476
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2008-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT003441L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist