Provider Demographics
NPI:1689657041
Name:SCHOENBRUN, JANET GAIL (PT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:GAIL
Last Name:SCHOENBRUN
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 1:4655 QUIGG DR APT 812
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95409-5394
Mailing Address - Country:US
Mailing Address - Phone:818-486-9232
Mailing Address - Fax:
Practice Address - Street 1:FUTURES REHAB
Practice Address - Street 2:3423 VALLE VERDE DR.
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558
Practice Address - Country:US
Practice Address - Phone:707-254-7175
Practice Address - Fax:707-254-7176
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT8874225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PT88740Medicare PIN