Individual
DEBRA DAMICO SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2555 N GORDON PL, MILWAUKEE, WI 53212
(414) 378-5303
(414) 376-5552
Mailing address
2555 N GORDON PL, MILWAUKEE, WI 53212-3018
(414) 378-5303
(414) 376-5552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006553
IL
225X00000X
Occupational Therapist
6197-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932271
BLUE SHIELD
IL
01
—
710957905
FEIN
IL
Enumeration date
02/08/2007
Last updated
01/16/2024
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