Individual
MRS. KATHY JANE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1999 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
(904) 824-3311
Mailing address
1999 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
(904) 824-3311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2722
SC
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9315
FL
Other
Enumeration date
05/16/2008
Last updated
02/10/2012
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