Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1437752029 |
---|---|
Provider Name | Dr. Nicholas Schumacher |
First Address | Andover, MA 01810-2566 |
Second Address | Andover, MA 01810-2566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2020 |
Last Update Date | 18/11/2021 |