MEDICARE: JENNIFER SCHWARTZ

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	224Z00000X	Occupational Therapy Assistant	OC 60679195	WA

General Provider Information

NPI Number	:	1144765090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER SCHWARTZ

Provider Business Mailing Address
First Line	:	5115 W HOWESDALE DR
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-8605
Country	:	US
Telephone Number	:	509-939-8134
Fax Number	:

Provider Business Practice Location Address
First Line	:	5115 W HOWESDALE DR
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-8605
Country	:	US
Telephone Number	:	509-939-8134
Fax Number	:

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

Provider Enumeration Date	:	01/02/2017
Last Update Date	:	01/02/2017

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