Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 10537-24 | WI |
Y | 225100000X | Physical Therapist | 291820 | CA |
N | 225100000X | Physical Therapist | 8846 | AZ |
N | 2251S0007X | Physical Therapist - Sports | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1114242377 |
---|---|
Provider Name | Renee Nicole Schaefer |
First Address | San Francisco, CA 94114-1010 |
Second Address | San Francisco, CA 94114-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2010 |
Last Update Date | 15/01/2017 |