Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 070.021975 | IL |
N | 2251P0200X | Physical Therapist - Pediatrics | 2010028891 | MO |
NPI | 1003275918 |
---|---|
Provider Name | Christine Scheman |
First Address | St. Louis, MO 63110 |
Second Address | St. Louis, MO 63110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2016 |
Last Update Date | 19/02/2016 |