Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 070-005571 | IL |
NPI | 1760738256 |
---|---|
Provider Name | Mrs. Annamarie Schneider |
First Address | Crystal Lake, IL 60014-7579 |
Second Address | Crystal Lake, IL 60014-7579 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2012 |
Last Update Date | 02/08/2012 |