MEDICARE: MS. KRISTEN H SCHULER 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
1	225X00000X	Occupational Therapist	9022	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9022	OTHER	MA	LICENSE

General Provider Information

NPI Number	:	1538447255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTEN H SCHULER OTR/L

Provider Business Mailing Address
First Line	:	295 LINCOLN ST STE 107
Second Line	:	UMASS MEMORIAL MED CTR, INTELLECTUAL DISABILITIES SERV
City	:	WORCESTER
State	:	MA
Zip	:	01605-3639
Country	:	US
Telephone Number	:	508-334-1212
Fax Number	:	508-334-2029

Provider Business Practice Location Address
First Line	:	295 LINCOLN ST STE 107
Second Line	:	UMASS MEMORIAL MED CTR, INTELLECTUAL DISABILITIES SERV
City	:	WORCESTER
State	:	MA
Zip	:	01605-3639
Country	:	US
Telephone Number	:	508-334-1212
Fax Number	:	508-334-2029

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

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	07/29/2011

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