Provider Demographics
NPI:1154092260
Name:SCHMIDT, SARAH FRANCES (MS, OTR/L, CNS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:FRANCES
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MS, OTR/L, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:440 W MAHOGANY CT UNIT 212
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7812
Mailing Address - Country:US
Mailing Address - Phone:872-242-6289
Mailing Address - Fax:
Practice Address - Street 1:210 EDWARDS VILLAGE BLVD STE 208D
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-5277
Practice Address - Country:US
Practice Address - Phone:970-446-6481
Practice Address - Fax:833-915-0138
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056011669225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty