Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 06002007A | IN |
NPI | 1013105766 |
---|---|
Provider Name | Mrs. Mary Beth Schuman |
First Address | Warsaw, IN 46580-3252 |
Second Address | Warsaw, IN 46580-3252 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2007 |
Last Update Date | 09/10/2007 |