Provider Demographics
NPI:1255339727
Name:STEINUM, TONJE (PT)
Entity type:Individual
Prefix:
First Name:TONJE
Middle Name:
Last Name:STEINUM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TONJE
Other - Middle Name:
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:22-24 MORLOT AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3121
Mailing Address - Country:US
Mailing Address - Phone:201-664-9200
Mailing Address - Fax:
Practice Address - Street 1:22-24 MORLOT AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3121
Practice Address - Country:US
Practice Address - Phone:201-664-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01397800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY013JXMedicare ID - Type Unspecified