Provider Demographics
NPI:1609152529
Name:SCHUMANN-WHITTLESEY, NINA LOUISE
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:LOUISE
Last Name:SCHUMANN-WHITTLESEY
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 1:1250 S DENNING DR
Mailing Address - Street 2:APT 137
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5607
Mailing Address - Country:US
Mailing Address - Phone:407-547-8109
Mailing Address - Fax:
Practice Address - Street 1:1250 S DENNING DR
Practice Address - Street 2:APT 137
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5607
Practice Address - Country:US
Practice Address - Phone:407-547-8109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA21734225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant