MEDICARE: MS. KRISTINA F SCHMIEDER 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	225XP0200X	Pediatric Occupational Therapist	OT10797	FL

General Provider Information

NPI Number	:	1992850721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTINA F SCHMIEDER OTR

Provider Business Mailing Address
First Line	:	1401 BAY RD APT 303
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3781
Country	:	US
Telephone Number	:	305-984-1521
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 BAY RD APT 303
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3781
Country	:	US
Telephone Number	:	305-984-1521
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/09/2007

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