MEDICARE: JANICE LYNN SCHUURMANS 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	225X00000X	Occupational Therapist	5201006704	MI

General Provider Information

NPI Number	:	1578746434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE LYNN SCHUURMANS OTR

Provider Business Mailing Address
First Line	:	2194 ARTHUR CT
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7977
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2194 ARTHUR CT
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7977
Country	:	US
Telephone Number	:	231-218-5315
Fax Number	:

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

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	07/29/2021

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