Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 2305207206 | VA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 2305207206 | VA |
NPI | 1104410588 |
---|---|
Provider Name | Kristine Schoenfelder |
First Address | North Chesterfield, VA 23235-5200 |
Second Address | Richmond, VA 23233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2021 |
Last Update Date | 25/02/2021 |