Individual
AMANDA SCHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, PORT ORANGE, FL 32128-8311
(888) 265-2680
Mailing address
905 DIVERSEY DR, SAINT LOUIS, MO 63126-1235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119624
TX
225X00000X
Occupational Therapist
OT.0005744
CO
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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