Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 46TR00239500 | NJ |
NPI | 1124254180 |
---|---|
Provider Name | Mrs. Lori Jean Schmidt |
First Address | Newtonville, NJ 08346-0328 |
Second Address | Plymouth Meeting, PA 19462-1047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2009 |
Last Update Date | 04/06/2009 |