Provider Demographics
NPI:1073978821
Name:SCHLOSSER, RENEE ANN (PT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:ANN
Last Name:SCHLOSSER
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 1:5836 ESTES LN
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4329
Mailing Address - Country:US
Mailing Address - Phone:813-838-4998
Mailing Address - Fax:
Practice Address - Street 1:4624 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-2706
Practice Address - Country:US
Practice Address - Phone:813-874-2646
Practice Address - Fax:813-874-2656
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist