Individual
JOHANNE L SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1014 BURRELL AVE, LEWISTON, ID 83501-5472
(208) 743-4558
Mailing address
1014 BURRELL AVE, LEWISTON, ID 83501-5472
(208) 743-4558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT -393
ID
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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