Individual
ANDREAS SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT17427B
MCARE IND PROV # EASTLAKE
CA
01
—
WPT17427C
MCARE IND PROV # CORONADO
CA
Enumeration date
06/26/2006
Last updated
09/26/2007
Update your record
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