MEDICARE: MRS. ERIN KATE BURNS SCHAUER MOT

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	225XP0019X	Physical Rehabilitation Occupational Therapist	OT007124	GA

General Provider Information

NPI Number	:	1871737841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN KATE BURNS SCHAUER MOT

Provider Business Mailing Address
First Line	:	104 ROCK MULL
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-2426
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5136 VIA VALARTA
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-1561
Country	:	US
Telephone Number	:	317-496-2818
Fax Number	:

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

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	10/12/2023

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