Individual
JUSTIN SCHOMAEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 W ARCH HAVEN AVE BLDG 1320, STE E, BLOOMINGTON, IN 47403-2089
(812) 336-8406
(812) 336-8342
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011602A
IN
Other
Enumeration date
10/27/2014
Last updated
11/26/2014
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