MEDICARE: MRS. SANDRA SCHOENBERG OT

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	160	NH

General Provider Information

NPI Number	:	1831330216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA SCHOENBERG OT

Provider Business Mailing Address
First Line	:	CMR 427
Second Line	:	BOX 1519
City	:	APO
State	:	AE
Zip	:	09630
Country	:	US
Telephone Number	:	813-418-6001
Fax Number	:

Provider Business Practice Location Address
First Line	:	15543 TIMBERLINE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1617
Country	:	US
Telephone Number	:	813-418-6001
Fax Number	:

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

Provider Enumeration Date	:	03/16/2009
Last Update Date	:	03/16/2009

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