Healthcare Provider Details

I. General information

NPI: 1164451498
Provider Name (Legal Business Name): COLLEEN A. SCHUSTER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 MAIN ST
HAMILTON OH
45013-1636
US

IV. Provider business mailing address

1199 MAIN STREET P.O. BOX 13346
HAMILTON OH
45013
US

V. Phone/Fax

Practice location:
  • Phone: 513-863-2273
  • Fax:
Mailing address:
  • Phone: 513-863-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT005602
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: