Individual
MRS. STEPHANIE SUE SCHOENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5640 E FRANKLIN RD, SUITE B, NAMPA, ID 83687-8402
(208) 489-4640
Mailing address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1126
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA-1126
OCCUPATIONAL THERAPY ASSISTANT LICENSE
ID
Enumeration date
04/30/2012
Last updated
04/30/2012
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