Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0509 | AZ |
NPI | 1184612459 |
---|---|
Provider Name | Mrs. Katherine A Schofield |
First Address | Phoenix, AZ 85008 |
Second Address | Scottsdale, AZ 85258-4510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2005 |
Last Update Date | 01/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
192071 | (05) | AZ |
DF7521 | RAILROAD MEDICARE GROUP NUMBER (01) | AZ |
P54931 | (02) | AZ |