Basic Information
| Provider Information | |||||||||
| NPI: | 1467409227 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHNEPF | ||||||||
| FirstName: | CHARLOTTE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SCHNEPF | ||||||||
| OtherFirstName: | CHARLOTTE | ||||||||
| OtherMiddleName: | A | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PT | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1692B HOSPITAL DR | ||||||||
| Address2: | STE 202 | ||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875054754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059826399 | ||||||||
| FaxNumber: | 5059823219 | ||||||||
| Practice Location | |||||||||
| Address1: | 1692B HOSPITAL DR | ||||||||
| Address2: | STE 202 | ||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875054754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059826399 | ||||||||
| FaxNumber: | 5059823219 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2006 | ||||||||
| LastUpdateDate: | 03/20/2015 | ||||||||
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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 | 2251X0800X | 2459 | NM | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.