Individual
PETER ANTHONY SCHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
508 RANDOM LN, GAYLORD, MI 49735-9304
(586) 707-5685
Mailing address
508 RANDOM LN, GAYLORD, MI 49735-9304
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501006756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501006756
STATE PT LICENSE
MI
Enumeration date
02/14/2018
Last updated
02/14/2018
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