Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 4399 | NC |
N | 2251S0007X | Physical Therapist - Sports | 4399 | NC |
NPI | 1285715474 |
---|---|
Provider Name | Robert A Schneider |
First Address | Bolingbrook, IL 60440-4909 |
Second Address | Chapel Hill, NC 27514-6995 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 23/07/2015 |