Provider Demographics
NPI:1841307790
Name:CYGAN, STEVE (MED PT)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:CYGAN
Suffix:
Gender:M
Credentials:MED PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623
Mailing Address - Country:US
Mailing Address - Phone:419-473-3561
Mailing Address - Fax:
Practice Address - Street 1:7640 SYLVANIA AVENUE
Practice Address - Street 2:SUITE O
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560
Practice Address - Country:US
Practice Address - Phone:419-479-5960
Practice Address - Fax:419-517-1080
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT01456174400000X
OHPT.001456225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH181560Medicare PIN
OH366545Medicare PIN