Doctor Name: | JENNIFER LEA SCHEIDERER |
NPI Number: | 1306853551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05006689A |
Business Practice Address: | 3030 Lake Ave Ste 24 Fort Wayne, IN - 468055428 |
Business Phone Number: | 2604248830 |
Business Fax Number: | 2604248868 |
Mailing Address: | 7717 Montclair Dr, FORT WAYNE |
State: | IN |
Postal Code: | 468043530 |
Phone Number: | 2604322012 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05006689A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |