Healthcare Provider Details

I. General information

NPI: 1447923065
Provider Name (Legal Business Name): ELIZABETH SCHAEFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 07/29/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3452 LAKE LYNDA DR STE 200
ORLANDO FL
32817-1481
US

IV. Provider business mailing address

4430 FORDER OAKS DR
SAINT LOUIS MO
63129-7102
US

V. Phone/Fax

Practice location:
  • Phone: 800-774-7785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: