Provider Demographics
NPI:1548243637
Name:SCHWARZ, ANN CLAYTON (PT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CLAYTON
Last Name:SCHWARZ
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:PO BOX 432
Mailing Address - Street 2:2 TERRY PLACE
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-0432
Mailing Address - Country:US
Mailing Address - Phone:973-697-9503
Mailing Address - Fax:
Practice Address - Street 1:66 TOWNE CTR
Practice Address - Street 2:ROUTE 10 EAST
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1362
Practice Address - Country:US
Practice Address - Phone:973-598-9111
Practice Address - Fax:973-598-9110
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00217600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist