Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA18938 | FL |
NPI | 1013176346 |
---|---|
Provider Name | Barbara Jean Schilling |
First Address | Sanford, FL 32771-1013 |
Second Address | Sanford, FL 32771-1013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 02/06/2008 |