Basic Information
| Provider Information | |||||||||
| NPI: | 1598186314 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHOENBORN | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | LOWTHER | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS OTR/L | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MOORE | ||||||||
| OtherFirstName: | ANNA | ||||||||
| OtherMiddleName: | LOWTHER | ||||||||
| OtherNamePrefix: | MISS | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1868 ROOSEVELT ST | ||||||||
| Address2: | |||||||||
| City: | COOPERSVILLE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494049652 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 25 CONRAN DR | ||||||||
| Address2: | |||||||||
| City: | COOPERSVILLE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494041366 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6169976172 | ||||||||
| FaxNumber: | 6169652475 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2013 | ||||||||
| LastUpdateDate: | 12/20/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5201008503 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.