Doctor Name: | MRS. ROBERTA BLACKBURN SCHEXNAILDER |
NPI Number: | 1184792954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT00676 |
Business Practice Address: | 400 S Main St Suite D Saint Martinville, LA - 705824544 |
Business Phone Number: | 3373943757 |
Business Fax Number: | 3373943758 |
Mailing Address: | 400 S Main St, Suite D SAINT MARTINVILLE |
State: | LA |
Postal Code: | 705824544 |
Phone Number: | 3373943757 |
Fax Number: | 3373943758 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT00676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |