Individual
MS. MARY A. SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2010 FLANDRO DR, POCATELLO, ID 83202-1947
(208) 238-3270
(208) 238-3270
Mailing address
PO BOX 6195, POCATELLO, ID 83205-6195
(208) 238-3270
(208) 904-2760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
ID
225X00000X
Occupational Therapist
Primary
OT-240
ID
Other
Enumeration date
08/15/2006
Last updated
07/02/2012
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