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NPI Code Detail

MEDICARE: ABIGAIL MARIE SCHULZ OTR/L

MEDICARE:   ABIGAIL MARIE SCHULZ  OTR/L
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 Therapist107097MN

General Provider Information

NPI Number : 1205614344
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL MARIE SCHULZ OTR/L
Provider Business Mailing Address
First Line : 1394 JACKSON ST STE 201
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-4630
Country : US
Telephone Number : 651-603-8774
Fax Number :
Provider Business Practice Location Address
First Line : 1394 JACKSON ST STE 201
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-4630
Country : US
Telephone Number : 651-603-8774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 09/19/2023

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Directions to “ ABIGAIL MARIE SCHULZ OTR/L” Practice Location

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