Basic Information
| Provider Information | |||||||||
| NPI: | 1568696706 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHENNING | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | EDWARD | ||||||||
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| Credential: | DPT, ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10753 FALLS RD | ||||||||
| Address2: | SUITE 235 | ||||||||
| City: | LUTHERVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210934535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105832665 | ||||||||
| FaxNumber: | 4108473838 | ||||||||
| Practice Location | |||||||||
| Address1: | 10753 FALLS RD | ||||||||
| Address2: | SUITE 235 | ||||||||
| City: | LUTHERVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210934535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105832665 | ||||||||
| FaxNumber: | 4108473838 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2009 | ||||||||
| LastUpdateDate: | 05/01/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 22775 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2255A2300X | 060102281 | MD | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No ID Information.