MEDICARE: MARIA ZENNIFER PASCUAL SCHWAB MS, OTR

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	OT-3434	CO

General Provider Information

NPI Number	:	1821356668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ZENNIFER PASCUAL SCHWAB MS, OTR

Provider Business Mailing Address
First Line	:	1497 MARIGOLD DR
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-2866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 S BANNOCK ST
Second Line	:	#770
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2432
Country	:	US
Telephone Number	:	303-808-7686
Fax Number	:

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

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	04/30/2012

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