Provider Demographics
NPI:1447450341
Name:SCHAFFER, CHRISTOBEL MANOPRIYA (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTOBEL
Middle Name:MANOPRIYA
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHRISTOBEL
Other - Middle Name:
Other - Last Name:CHELLAPURAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28933 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-0923
Mailing Address - Country:US
Mailing Address - Phone:248-414-7592
Mailing Address - Fax:248-414-7661
Practice Address - Street 1:28933 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-0923
Practice Address - Country:US
Practice Address - Phone:248-414-7592
Practice Address - Fax:248-414-7661
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013337225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist