MEDICARE: TERESA RENEE SCHREIBER M.A., O.T.R., C.H.T.

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	225X00000X	Occupational Therapist	103539	TX
2	225XE1200X	Ergonomics Occupational Therapist	103539	TX
3	225XH1200X	Hand Occupational Therapist	103539	TX

General Provider Information

NPI Number	:	1215935804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA RENEE SCHREIBER M.A., O.T.R., C.H.T.

Provider Business Mailing Address
First Line	:	1500 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-5604
Country	:	US
Telephone Number	:	940-766-1515
Fax Number	:	940-766-1539

Provider Business Practice Location Address
First Line	:	1500 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-5604
Country	:	US
Telephone Number	:	940-766-1515
Fax Number	:	940-766-1539

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	08/23/2013

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