Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT32065 | FL |
NPI | 1003350638 |
---|---|
Provider Name | Dr. Jorie Schinella |
First Address | South Pasadena, FL 33707-6360 |
Second Address | Fort Myers, FL 33966-1017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2016 |
Last Update Date | 16/12/2016 |