Provider Demographics
NPI:1548517865
Name:STEINHAUS, TERREL A (OT)
Entity type:Individual
Prefix:MS
First Name:TERREL
Middle Name:A
Last Name:STEINHAUS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N9074 CORNING RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:WI
Mailing Address - Zip Code:53901-9469
Mailing Address - Country:US
Mailing Address - Phone:608-844-0944
Mailing Address - Fax:
Practice Address - Street 1:N9074 CORNING RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901-9469
Practice Address - Country:US
Practice Address - Phone:608-844-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3231-26282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital