MEDICARE: MS. EMMA JANE SCHNEIDER MOT, BBNSC

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	3818	AZ

General Provider Information

NPI Number	:	1497821649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMMA JANE SCHNEIDER MOT, BBNSC

Provider Business Mailing Address
First Line	:	875 W PECOS RD APT 2055
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-7610
Country	:	US
Telephone Number	:	480-963-1803
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 E MISSOURI AVE
Second Line	:	SUITE A
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2615
Country	:	US
Telephone Number	:	602-393-0520
Fax Number	:	602-393-0523

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	02/01/2008

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