Healthcare Provider Details

I. General information

NPI: 1639275985
Provider Name (Legal Business Name): SCHUSTER REHALIBITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201-202 ESTATE RUBY
CHRISTIANSTED VI
00820
US

IV. Provider business mailing address

PO BOX 1799
KINGSHILL VI
00851-1799
US

V. Phone/Fax

Practice location:
  • Phone: 340-778-6530
  • Fax: 340-778-4922
Mailing address:
  • Phone: 340-778-6530
  • Fax: 340-778-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number015
License Number StateVI

VIII. Authorized Official

Name: MRS. ANGELICA R SCHUSTER
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 340-778-6530