Provider Demographics
NPI:1104845478
Name:SCHMITT, LAURA (PT, MS, SCS, ATC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:PT, MS, SCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W PARK PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4570
Mailing Address - Country:US
Mailing Address - Phone:302-738-0979
Mailing Address - Fax:
Practice Address - Street 1:120 W PARK PL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-4570
Practice Address - Country:US
Practice Address - Phone:302-738-0979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0000985208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation