Provider Demographics
NPI:1093033607
Name:SCHIFF MOSES, SUSAN B (MSPT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:B
Last Name:SCHIFF MOSES
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2150
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28106-2150
Mailing Address - Country:US
Mailing Address - Phone:704-849-9393
Mailing Address - Fax:704-845-8589
Practice Address - Street 1:10550 INDEPENDENCE POINTE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2690
Practice Address - Country:US
Practice Address - Phone:704-849-9393
Practice Address - Fax:704-845-8589
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12036225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist