Provider Demographics
NPI:1083805956
Name:SCHNECK, FELICITY AURIEL (SROT, DIPCOT)
Entity Type:Individual
Prefix:MRS
First Name:FELICITY
Middle Name:AURIEL
Last Name:SCHNECK
Suffix:
Gender:F
Credentials:SROT, DIPCOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13190 AMBER WOODS ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-7945
Mailing Address - Country:US
Mailing Address - Phone:352-666-1716
Mailing Address - Fax:
Practice Address - Street 1:13190 AMBER WOODS ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-7945
Practice Address - Country:US
Practice Address - Phone:352-666-1716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 12509225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist