Individual
ANDREA SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
767 SECURITY DR, APARTMEN Y204, FOND DU LAC, WI 54935-8167
(920) 585-6531
Mailing address
767 SECURITY DR, APARTMEN Y204, FOND DU LAC, WI 54935-8167
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5218
WI
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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