Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201000464 | MI |
NPI | 1326341025 |
---|---|
Provider Name | Ms. Carol Jeanne Schaab |
First Address | Roscommon, MI 48653-8757 |
Second Address | Roscommon, MI 48653-8757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2010 |
Last Update Date | 19/12/2010 |