Healthcare Provider Details

I. General information

NPI: 1306040209
Provider Name (Legal Business Name): BARBARA SCHMID OTR-L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106B DIVISION AVENUE NORTH
CAVALIER ND
58220
US

IV. Provider business mailing address

111 E 2ND AVE N
CAVALIER ND
58220-4420
US

V. Phone/Fax

Practice location:
  • Phone: 701-265-8080
  • Fax:
Mailing address:
  • Phone: 701-265-3796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number334
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: