Provider Demographics
NPI:1770708273
Name:STEIN, MENACHEM (PT)
Entity type:Individual
Prefix:MR
First Name:MENACHEM
Middle Name:
Last Name:STEIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 BASELINE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA YNEZ
Mailing Address - State:CA
Mailing Address - Zip Code:93460-9354
Mailing Address - Country:US
Mailing Address - Phone:805-688-2730
Mailing Address - Fax:805-688-0336
Practice Address - Street 1:2850 BASELINE AVE
Practice Address - Street 2:
Practice Address - City:SANTA YNEZ
Practice Address - State:CA
Practice Address - Zip Code:93460-9354
Practice Address - Country:US
Practice Address - Phone:805-688-2730
Practice Address - Fax:805-688-0336
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT83412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic