Provider Demographics
NPI:1306922364
Name:SCHUSTER, ANGELICA ROSALIA (PT)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:ROSALIA
Last Name:SCHUSTER
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:PO BOX 1799
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-1799
Mailing Address - Country:US
Mailing Address - Phone:340-778-6530
Mailing Address - Fax:340-778-4922
Practice Address - Street 1:201-202 ESTATE RUBY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-778-6530
Practice Address - Fax:340-778-4922
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI6-0068AMedicare ID - Type Unspecified
VI6-4081Medicare ID - Type Unspecified