Individual
JACQUELINE S. SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
4455 DARTMOORE LN, SUWANEE, GA 30024-3345
(678) 463-9223
(678) 807-7792
Mailing address
4455 DARTMOORE LN, SUWANEE, GA 30024-3345
(678) 463-9223
(678) 807-7792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003613
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701034403A
—
GA
Enumeration date
08/14/2007
Last updated
08/15/2008
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