MEDICARE: LAUREN SCHILTZ OTR

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		WI

General Provider Information

NPI Number	:	1356900021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN SCHILTZ OTR

Provider Business Mailing Address
First Line	:	325 MEADOWVIEW DR
Second Line	:
City	:	SAINT CHARLES
State	:	MN
Zip	:	55972-1060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 ELTON HILLS DR NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-3527
Country	:	US
Telephone Number	:	722-507-1508
Fax Number	:

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

Provider Enumeration Date	:	06/06/2019
Last Update Date	:	04/25/2023

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