Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | PT-011623 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | PT-011623 | OH |
NPI | 1316393077 |
---|---|
Provider Name | Laura Schmitt |
First Address | Columbus, OH 43210-2205 |
Second Address | Columbus, OH 43210-2205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2016 |
Last Update Date | 11/05/2016 |