MEDICARE: MRS. BEVERLY J SCHNITZER P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH1122	AL
2	174400000X	Specialist	PTH1122	AL

General Provider Information

NPI Number	:	1114909249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BEVERLY J SCHNITZER P.T.

Provider Business Mailing Address
First Line	:	4850A DAWES LN E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36619-9029
Country	:	US
Telephone Number	:	251-243-2676
Fax Number	:	251-244-3262

Provider Business Practice Location Address
First Line	:	4850A DAWES LN E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36619-9029
Country	:	US
Telephone Number	:	251-243-2676
Fax Number	:	251-244-3262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	06/20/2024

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