Provider Demographics
NPI:1821424946
Name:SCHUBERT, GEORGIA LEE (DPT)
Entity Type:Individual
Prefix:DR
First Name:GEORGIA
Middle Name:LEE
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BENEDICT PL
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-1908
Mailing Address - Country:US
Mailing Address - Phone:251-654-1783
Mailing Address - Fax:
Practice Address - Street 1:6 BENEDICT PL
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-1908
Practice Address - Country:US
Practice Address - Phone:251-654-1783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6945225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-72319OtherBCBS OF AL
ALP01603838OtherTRAVLERS
AL511-72319OtherBCBS OF AL