Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | ||
Y | 2251S0007X | Physical Therapist - Sports | PT5724 | ME |
N | 2251X0800X | Physical Therapist - Orthopedic | 8659 | NC |
NPI | 1356315097 |
---|---|
Provider Name | Dr. Emilie Schmidt |
First Address | Brunswick, ME 04011-3203 |
Second Address | Fort Walton Beach, FL 32548-7266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 26/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
078K5 | BCBS (01) | NC |
7211423 | (05) | NC |
Q49681A | (02) |