Basic Information
| Provider Information | |||||||||
| NPI: | 1144575515 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZ | ||||||||
| FirstName: | MICHELLE | ||||||||
| MiddleName: | ERIN | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 816128 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753816128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4694165250 | ||||||||
| FaxNumber: | 4694165260 | ||||||||
| Practice Location | |||||||||
| Address1: | 210 W CAMPBELL RD | ||||||||
| Address2: | |||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750803512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4694165250 | ||||||||
| FaxNumber: | 4694165260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2012 | ||||||||
| LastUpdateDate: | 03/01/2016 | ||||||||
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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 | 1219942 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.