Healthcare Provider Details

I. General information

NPI: 1003275918
Provider Name (Legal Business Name): CHRISTINE SCHEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 CHOUTEAU AVE. APT. 3316
ST. LOUIS MO
63110
US

IV. Provider business mailing address

4441 CHOUTEAU AVE. APT. 3316
ST. LOUIS MO
63110
US

V. Phone/Fax

Practice location:
  • Phone: 636-541-1154
  • Fax:
Mailing address:
  • Phone: 636-541-1154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number070.021975
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number2010028891
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: