Basic Information
Provider Information
NPI: 1568798825
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHINDLER
FirstName: JOANNA
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: OTR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 880 INDEPENDENCE LN
Address2:  
City: SAUK CITY
State: WI
PostalCode: 535831381
CountryCode: US
TelephoneNumber: 6086432343
FaxNumber: 6086433801
Practice Location
Address1: 880 INDEPENDENCE LN
Address2:  
City: SAUK CITY
State: WI
PostalCode: 535831381
CountryCode: US
TelephoneNumber: 6086432343
FaxNumber: 6086433801
Other Information
ProviderEnumerationDate: 10/21/2009
LastUpdateDate: 10/21/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X4766WIY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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