Provider Demographics
NPI:1912200700
Name:SCHNEIDER, VIOLETTE DREYFUS (PT)
Entity Type:Individual
Prefix:
First Name:VIOLETTE
Middle Name:DREYFUS
Last Name:SCHNEIDER
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 1:1382 SCOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1460
Mailing Address - Country:US
Mailing Address - Phone:404-377-1223
Mailing Address - Fax:404-378-4048
Practice Address - Street 1:1382 SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1460
Practice Address - Country:US
Practice Address - Phone:404-377-1223
Practice Address - Fax:404-378-4048
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000776261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy