Healthcare Provider Details

I. General information

NPI: 1659885952
Provider Name (Legal Business Name): STEPHANIE F SCHINEMAN CTRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS STEPHANIE F POWERS

II. Dates (important events)

Enumeration Date: 11/22/2017
Last Update Date: 11/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 W MCKAY ST
SALINE MI
48176-1122
US

IV. Provider business mailing address

3588 PLYMOUTH RD # 393
ANN ARBOR MI
48105-2603
US

V. Phone/Fax

Practice location:
  • Phone: 517-588-5871
  • Fax: 517-588-5871
Mailing address:
  • Phone: 734-352-3543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: