Individual
DEBBIE LYNN SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001708
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045455
AMERIGROUP
GA
01
—
389259
WELLCARE
GA
01
—
52635253004
BLUE CROSS/BLUE SHIELD
GA
Enumeration date
02/01/2007
Last updated
12/04/2007
Update your record
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