Individual
ANGELA DICKERSON-SCHNATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, OCS, CHT
Contact information
Practice address
1161 MCDERMOTT DR, WEST CHESTER, PA 19380-4064
(484) 356-9401
(484) 356-9405
Mailing address
3809 W CHESTER PIKE STE 150, NEWTOWN SQUARE, PA 19073-0259
(610) 359-5640
(610) 359-1519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J100001537
DE
225100000X
Physical Therapist
Primary
PT014051L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037864
—
DE
05
—
1000038041
—
DE
01
—
1043252588
CHAMPUS TRICARE
—
01
—
1461970
PABS
—
01
—
2146694000
AMERIHEALTH IBC
—
01
—
5070-0070
CAREFIRST
—
01
—
88760504
CAREFIRST
—
Enumeration date
06/11/2006
Last updated
07/30/2020
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