Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0119008598 | VA |
NPI | 1003428681 |
---|---|
Provider Name | Rebecca A Schuck |
First Address | Islandia, NY 11749-5258 |
Second Address | Charlottesville, VA 22911-7573 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2020 |
Last Update Date | 17/08/2020 |