Provider Demographics
NPI:1235249996
Name:SCHREER, MARY
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:SCHREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7440 TRANSOM CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5870
Mailing Address - Country:US
Mailing Address - Phone:813-175-7305
Mailing Address - Fax:
Practice Address - Street 1:4450 HUGH HOWELL RD STE 17AND18
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4727
Practice Address - Country:US
Practice Address - Phone:770-939-0998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT21598OtherLICENSE #