Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2281-026 | WI |
NPI | 1003951336 |
---|---|
Provider Name | Lori J Schaetz |
First Address | Sturtevant, WI 53177-3497 |
Second Address | Oshkosh, WI 54902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |