Provider Demographics
NPI:1538329883
Name:SCHNEIDER, DONNA M
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:SCHNEIDER
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 1:1 DUNDEE PARK
Mailing Address - Street 2:SUITES 1 & 2
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01876
Mailing Address - Country:US
Mailing Address - Phone:978-474-9994
Mailing Address - Fax:978-474-0171
Practice Address - Street 1:1 DUNDEE PARK
Practice Address - Street 2:SUITES 1 & 2
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01876
Practice Address - Country:US
Practice Address - Phone:978-474-9994
Practice Address - Fax:978-474-0171
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist