Individual
MRS. JOAN MARIE SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 453-7049
(920) 459-4341
Mailing address
2130 N 20TH ST, SHEBOYGAN, WI 53081-2213
(920) 453-7049
(920) 459-4341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1801968847
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118-027
CERIFIED OT ASSISTANT
WI
Enumeration date
05/17/2007
Last updated
07/08/2007
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