Provider Demographics
NPI:1063699643
Name:SCHAFFER, ROBERT S JR (DPT)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:SCHAFFER
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1578 ETON WAY
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1526
Mailing Address - Country:US
Mailing Address - Phone:410-404-8971
Mailing Address - Fax:
Practice Address - Street 1:1578 ETON WAY
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1526
Practice Address - Country:US
Practice Address - Phone:410-404-8971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21536225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist