Provider Demographics
NPI:1356772081
Name:STECKEL, AMBER MARTIN (DPT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARTIN
Last Name:STECKEL
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 1:428 DIAMOND DOVE CV
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6598
Mailing Address - Country:US
Mailing Address - Phone:321-421-9799
Mailing Address - Fax:
Practice Address - Street 1:428 DIAMOND DOVE CV
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6598
Practice Address - Country:US
Practice Address - Phone:813-317-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28709225100000X
COPTL.0012431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist