Provider Demographics
NPI:1952591729
Name:BOND, STEFFANIE (PTA)
Entity Type:Individual
Prefix:
First Name:STEFFANIE
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 E GIRARD AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4404
Mailing Address - Country:US
Mailing Address - Phone:303-761-0300
Mailing Address - Fax:
Practice Address - Street 1:8000 E GIRARD AVE APT 211
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4404
Practice Address - Country:US
Practice Address - Phone:303-761-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-0371225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant