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NPI Code Detail

MEDICARE: MRS. JAYNA KATHYRN SCHOLL OTR, L

MEDICARE: MRS. JAYNA KATHYRN SCHOLL 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 Therapist1842NE

General Provider Information

NPI Number : 1639570526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAYNA KATHYRN SCHOLL OTR, L
Provider Business Mailing Address
First Line : 25117 SW PARKWAY AVE
Second Line : STE D
City : WILSONVILLE
State : OR
Zip : 97070-9697
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1322 U ST
Second Line :
City : AUBURN
State : NE
Zip : 68305-3215
Country : US
Telephone Number : 402-801-0023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2014
Last Update Date : 10/17/2019

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