Provider Demographics
NPI:1902849581
Name:SIMPSON SCHUBERT, KARIN L (PT)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:L
Last Name:SIMPSON SCHUBERT
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 1:3406 SHANGRI LA RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-2108
Mailing Address - Country:US
Mailing Address - Phone:925-932-1357
Mailing Address - Fax:925-932-1357
Practice Address - Street 1:3406 SHANGRI LA RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-2108
Practice Address - Country:US
Practice Address - Phone:925-932-1357
Practice Address - Fax:925-932-1357
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77762251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics