Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE005600L | PA |
NPI | 1013160001 |
---|---|
Provider Name | Mr. Scott Alan Schneider |
First Address | Pittsburgh, PA 15236 |
Second Address | Pittsburgh, PA 15236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2008 |
Last Update Date | 04/11/2008 |