Organization Name: | JESSICA SCHNELL PHYSICAL THERAPY, LLC |
NPI Number: | 1245510916 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA MICHELLE SCHNELL (PHYSICAL THERAPIST/SOLE PROPRIETOR) |
Mailing Address: | 4 Enighed, Suite #104 Saint John |
State: | VI US |
Postal Code: | 00830 |
Phone Number: | 3405142376 |
Fax Number: | 8004038365 |
NPI Enumeration Date: | 08/25/2011 |
NPI Last Update Date: | 01/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |