Provider Demographics
NPI:1407958044
Name:ROSENBLATT-SCHEHR, SUSAN MERLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MERLE
Last Name:ROSENBLATT-SCHEHR
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 1:7850 ROSSVILLE BLVD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3934
Mailing Address - Country:US
Mailing Address - Phone:410-661-0654
Mailing Address - Fax:410-661-8909
Practice Address - Street 1:7850 ROSSVILLE BLVD
Practice Address - Street 2:SUITE 222
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-3934
Practice Address - Country:US
Practice Address - Phone:410-661-0654
Practice Address - Fax:410-661-8909
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS381OtherBLUECHOICE
MD218-356OtherMAMSI/ALLIANCE
MDS381OtherCAREFIRST FEDERAL
MDJ721OtherCAREFIRST
MDJ721Medicare ID - Type Unspecified