MEDICARE: RENATE SCHMITT

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	5389	NC

General Provider Information

NPI Number	:	1679726723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENATE SCHMITT

Provider Business Mailing Address
First Line	:	7235 RISING MOON DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-5018
Country	:	US
Telephone Number	:	719-310-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	7235 RISING MOON DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-5018
Country	:	US
Telephone Number	:	719-310-2323
Fax Number	:

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

Provider Enumeration Date	:	11/02/2008
Last Update Date	:	11/02/2008

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Directions to “ RENATE SCHMITT ” Practice Location

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