Organization
MARTHA DANIELS SCHOONMAKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA DANIELS SCHOONMAKER PHYSICAL THERAPIST (OWNER/PHYSICAL THERAPIST)
(530) 581-3884
Entity
Organization
Contact information
Practice address
1970 TWIN PEAKS DR, TAHOE CITY, CA 96145
(530) 581-3884
(530) 581-3884
Mailing address
PO BOX 7109, TAHOE CITY, CA 96145-7109
(530) 581-3884
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013161934
MEDICARE NPI
CA
01
—
1972538601
MEDICARE NPI - INDIVIDUAL
CA
01
—
BZ522A
MEDICARE PTAN
CA
Enumeration date
11/05/2008
Last updated
12/09/2009
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