MEDICARE: JEANNETTE LOUISE SCHWARTZ OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	101451	TX

General Provider Information

NPI Number	:	1538319165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNETTE LOUISE SCHWARTZ OTR

Provider Business Mailing Address
First Line	:	8600 WURZBACH RD
Second Line	:	STE. 1003
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4330
Country	:	US
Telephone Number	:	210-614-5236
Fax Number	:	210-614-5236

Provider Business Practice Location Address
First Line	:	8600 WURZBACH RD
Second Line	:	STE. 1003
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4330
Country	:	US
Telephone Number	:	210-614-5236
Fax Number	:	210-614-5236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	09/18/2008

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