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Individual

MARIAH NICOLE SCHWAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
60575 BILLADEAU RD, BEND, OR 97702-9338
(541) 389-1848
Mailing address
20719 BOULDERFIELD AVE, BEND, OR 97701-7327
(208) 717-7293

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
409527
OR

Other

Enumeration date
11/09/2018
Last updated
11/09/2018
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