Provider Demographics
NPI:1801093240
Name:SCHOENFELD, DANIEL ALFRED (PT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALFRED
Last Name:SCHOENFELD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16819 N 44TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:602-493-2487
Practice Address - Street 1:16819 N 44TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2801
Practice Address - Country:US
Practice Address - Phone:602-359-3360
Practice Address - Fax:602-493-2487
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist