Healthcare Provider Details

I. General information

NPI: 1265654479
Provider Name (Legal Business Name): LINDA M SCHIRMER CRTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 MARLTON PIKE E SUITE 103
CHERRY HILL NJ
08034-2210
US

IV. Provider business mailing address

126 N 63RD ST
PHILADELPHIA PA
19139-2201
US

V. Phone/Fax

Practice location:
  • Phone: 800-670-3893
  • Fax: 800-905-4690
Mailing address:
  • Phone: 215-747-8621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberYM011640
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: