Provider Demographics
NPI:1871539908
Name:STEIN, CYNTHIA A (MED PT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:STEIN
Suffix:
Gender:F
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 1:1154 GREENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2958
Mailing Address - Country:US
Mailing Address - Phone:412-422-7022
Mailing Address - Fax:512-421-5071
Practice Address - Street 1:1154 GREENFIELD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2958
Practice Address - Country:US
Practice Address - Phone:412-422-7022
Practice Address - Fax:512-421-5071
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002870L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA036418Medicare ID - Type UnspecifiedPROVIDER NUMBER