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NPI Code Detail

MEDICARE: MRS. KELLEY LYNN SCHUTZ

MEDICARE: MRS. KELLEY LYNN SCHUTZ
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
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1720594930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLEY LYNN SCHUTZ
Provider Business Mailing Address
First Line : 14 HIGHLAND ST
Second Line :
City : MONONGAHELA
State : PA
Zip : 15063-3315
Country : US
Telephone Number : 412-726-4424
Fax Number :
Provider Business Practice Location Address
First Line : 5035 CLAIRTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-2103
Country : US
Telephone Number : 412-440-0142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2017
Last Update Date : 12/26/2017

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Directions to “ MRS. KELLEY LYNN SCHUTZ ” Practice Location

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