Healthcare Provider Details

I. General information

NPI: 1548337827
Provider Name (Legal Business Name): DEBORAH ANN SCHRAMER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 03/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 ROLLING OAKS DR SUITE 210
THOUSAND OAKS CA
91361-1023
US

IV. Provider business mailing address

375 ROLLLING OAKS DRIVE SUITE 210
THOUSAND OAKS CA
91361-1901
US

V. Phone/Fax

Practice location:
  • Phone: 805-497-7015
  • Fax: 818-901-4661
Mailing address:
  • Phone: 805-497-7015
  • Fax: 818-901-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT15562
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: