Individual
MRS. CLARISSA A SCHOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
648 OLD MILL RD, MILLERSVILLE, MD 21108-1373
(410) 222-3818
Mailing address
8389 VINELAND CT, MILLERSVILLE, MD 21108-1481
(410) 729-4049
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1379
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4648
—
MD
Enumeration date
01/19/2007
Last updated
07/08/2007
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