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NPI Code Detail

MEDICARE: ANDREW SCHNEIDER PTA

MEDICARE: ANDREW SCHNEIDER PTA
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
1225200000XPhysical Therapy AssistantPTA012783OH

General Provider Information

NPI Number : 1568105815
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW SCHNEIDER PTA
Provider Business Mailing Address
First Line : 1800 DEER CREEK DR STE 10
Second Line :
City : XENIA
State : OH
Zip : 45385-8085
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5070 LAMME RD
Second Line :
City : MORAINE
State : OH
Zip : 45439-3266
Country : US
Telephone Number : 937-293-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/14/2022

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Directions to “ ANDREW SCHNEIDER PTA” Practice Location

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