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NPI Code Detail

MEDICARE: HANNAH S. SCHULTZ OTD, OTR/L

MEDICARE:   HANNAH S. SCHULTZ  OTD, OTR/L
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
1225X00000XOccupational Therapist056.015327IL

General Provider Information

NPI Number : 1558061614
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH S. SCHULTZ OTD, OTR/L
Provider Business Mailing Address
First Line : 107 FIELD GROVE RD
Second Line :
City : EAST PEORIA
State : IL
Zip : 61611-4339
Country : US
Telephone Number : 309-251-4445
Fax Number :
Provider Business Practice Location Address
First Line : 4450 N PROSPECT RD
Second Line :
City : PEORIA HEIGHTS
State : IL
Zip : 61616-6578
Country : US
Telephone Number : 309-363-7495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2023
Last Update Date : 03/07/2023

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Directions to “ HANNAH S. SCHULTZ OTD, OTR/L” Practice Location

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