Provider Demographics
NPI:1174618573
Name:SCHOENSTEIN PHYSICAL THERAPY AND WORKER SELECTION TESTING INC.
Entity type:Organization
Organization Name:SCHOENSTEIN PHYSICAL THERAPY AND WORKER SELECTION TESTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:E
Authorized Official - Last Name:KIDDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-208-0449
Mailing Address - Street 1:363 A MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1729
Mailing Address - Country:US
Mailing Address - Phone:650-599-9482
Mailing Address - Fax:650-599-9788
Practice Address - Street 1:363 A MAIN STREET
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1729
Practice Address - Country:US
Practice Address - Phone:650-599-9482
Practice Address - Fax:650-599-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9632225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ23948ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER