Provider Demographics
NPI:1881900538
Name:MEREMA, STEVEN J (MPT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:MEREMA
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:404 W BLACKHAWK DR
Mailing Address - Street 2:SUITE 1LL
Mailing Address - City:BYRON
Mailing Address - State:IL
Mailing Address - Zip Code:61010-7500
Mailing Address - Country:US
Mailing Address - Phone:815-234-5561
Mailing Address - Fax:815-234-5870
Practice Address - Street 1:3524 E MILWAUKEE ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-1626
Practice Address - Country:US
Practice Address - Phone:608-756-7100
Practice Address - Fax:608-756-7225
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL070.018027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist