Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 14543 | CA |
NPI | 1053594887 |
---|---|
Provider Name | Ms. Monica M Schwartz |
First Address | Chico, CA 95926-2553 |
Second Address | Chico, CA 95926-2553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2007 |
Last Update Date | 15/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CGP146085 | MEDICAL (01) | CA |