Basic Information
| Provider Information | |||||||||
| NPI: | 1043404429 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWEER-WILT | ||||||||
| FirstName: | ANGELA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 357279 | ||||||||
| Address2: | SUITE 1200 W | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326357279 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522241962 | ||||||||
| FaxNumber: | 3522241965 | ||||||||
| Practice Location | |||||||||
| Address1: | 3350 PEORIA ST | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800101483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033403053 | ||||||||
| FaxNumber: | 3033403862 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2007 | ||||||||
| LastUpdateDate: | 07/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 9709 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.