Provider Demographics
NPI:1548481807
Name:SCHNEIDER, TAMMY ANN (MOTRL)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:ANN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MOTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 JEFFERSON CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1908
Mailing Address - Country:US
Mailing Address - Phone:267-236-3639
Mailing Address - Fax:216-613-1033
Practice Address - Street 1:6560 JEFFERSON CT
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1908
Practice Address - Country:US
Practice Address - Phone:267-236-3639
Practice Address - Fax:216-613-1033
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009074225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist