Healthcare Provider Details

I. General information

NPI: 1477961159
Provider Name (Legal Business Name): MICHELLE SCHWIER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2014
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2760 ATLANTIC AVE
LONG BEACH CA
90806-2755
US

IV. Provider business mailing address

2760 ATLANTIC AVE
LONG BEACH CA
90806-2755
US

V. Phone/Fax

Practice location:
  • Phone: 562-424-6666
  • Fax: 562-424-2706
Mailing address:
  • Phone: 562-424-6666
  • Fax: 562-424-2706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT014754
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: