Provider Demographics
NPI:1366618274
Name:SCHNELL, ANGELA RENEE (DPT)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:RENEE
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 A1A S
Mailing Address - Street 2:APT B4-4D
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-7568
Mailing Address - Country:US
Mailing Address - Phone:337-254-7944
Mailing Address - Fax:
Practice Address - Street 1:80 PINNACLES DR
Practice Address - Street 2:BUILDING B, SUITE 800
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2323
Practice Address - Country:US
Practice Address - Phone:386-586-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 23921174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist