Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | PT527 | ME |
NPI | 1396856969 |
---|---|
Provider Name | Ms. Jennifer A Schubert |
First Address | Scarborough, ME 04074-7649 |
Second Address | Scarborough, ME 04074-7649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 23/03/2016 |