Individual
KEENAN RUSSELL SCHUMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3611 N WARE RD., MCALLEN, TX 78501
(956) 688-6969
Mailing address
13016 MAIN ST., LEO, IN 46765-9639
(260) 804-2161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210627
TX
224Z00000X
Occupational Therapy Assistant
32001772A
IN
224Z00000X
Occupational Therapy Assistant
OC60138335
WA
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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