Individual
KELLY ELIZABETH SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S HAM LN, LODI, CA 95242-3543
(209) 368-7141
Mailing address
315 S CRESCENT AVE APT 106, LODI, CA 95240-3951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17944
CA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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