Healthcare Provider Details

I. General information

NPI: 1982169116
Provider Name (Legal Business Name): LINDSAY SCHEPPMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8787 CENTER DR
LA MESA CA
91942-3034
US

IV. Provider business mailing address

4647 WESTON RD
LA MESA CA
91941-6927
US

V. Phone/Fax

Practice location:
  • Phone: 619-460-4444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT15540
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: