Individual
MANDIE SCHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4401 UNION ST, JOHNSTOWN, CO 80534-2800
(970) 619-3400
Mailing address
193 W DOGWOOD ST, MILLIKEN, CO 80543-8052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004417
CO
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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