Provider Demographics
NPI:1053594887
Name:SCHWARTZ, MONICA M (PT)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GREENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2553
Mailing Address - Country:US
Mailing Address - Phone:530-519-0555
Mailing Address - Fax:
Practice Address - Street 1:4 GREENWOOD LN
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2553
Practice Address - Country:US
Practice Address - Phone:530-519-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-15
Last Update Date:2007-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145432251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACGP146085OtherMEDICAL