Provider Demographics
NPI:1366553265
Name:PFISTERER, STEPHEN JAMES (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:JAMES
Last Name:PFISTERER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FREDERICK STREET
Mailing Address - Street 2:SUITE B01
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1956
Mailing Address - Country:US
Mailing Address - Phone:717-632-0774
Mailing Address - Fax:717-633-5816
Practice Address - Street 1:100 FREDERICK STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1956
Practice Address - Country:US
Practice Address - Phone:717-633-5075
Practice Address - Fax:717-633-5816
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT010874L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL093445LGXMedicare PIN