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NPI Code Detail

MEDICARE: SONJA LYNN SCHAECKENBACH OT

MEDICARE: SONJA LYNN SCHAECKENBACH OT
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
1225X00000XOccupational Therapist31001328AIN

General Provider Information

NPI Number : 1184899718
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJA LYNN SCHAECKENBACH OT
Provider Business Mailing Address
First Line : 7637 IRON HORSE LN
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3914
Country : US
Telephone Number : 317-842-7552
Fax Number :
Provider Business Practice Location Address
First Line : 5936 N KEYSTONE AVE
Second Line : SUITE 101
City : INDIANAPOLIS
State : IN
Zip : 46220-2458
Country : US
Telephone Number : 317-257-8340
Fax Number : 317-257-8361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2008
Last Update Date : 04/24/2008

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Directions to “ SONJA LYNN SCHAECKENBACH OT” Practice Location

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