Healthcare Provider Details

I. General information

NPI: 1760605265
Provider Name (Legal Business Name): ASHLEY H. SCHNEIDER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1082 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US

IV. Provider business mailing address

1082 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US

V. Phone/Fax

Practice location:
  • Phone: 314-821-5230
  • Fax: 314-821-5309
Mailing address:
  • Phone: 314-821-5230
  • Fax: 314-821-5309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number002155
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: