Individual
NICHOLAS SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(747) 210-4245
Mailing address
12032 JUNIETTE ST, CULVER CITY, CA 90230-6232
(907) 362-1982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10779
CA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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