Provider Demographics
NPI:1154050169
Name:SCHUMACHER, JACLYN ELAINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:JACLYN
Middle Name:ELAINE
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 CATALINA CIR APT 689
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5385
Mailing Address - Country:US
Mailing Address - Phone:208-305-6367
Mailing Address - Fax:
Practice Address - Street 1:710 W 13TH AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-5511
Practice Address - Country:US
Practice Address - Phone:760-208-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation