Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XF0002X | Feeding, Eating & Swallowing | 373449 | OR |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 60048074 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 1143 | MT |
NPI | 1558792697 |
---|---|
Provider Name | Ms. Kathleen Marie Schaeffer |
First Address | Montesano, WA 98563 |
Second Address | Montesano, WA 98563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2013 |
Last Update Date | 27/11/2013 |