Provider Demographics
NPI:1194842534
Name:SCHUSTER, SANDRA JANE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:JANE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:JANE
Other - Last Name:HENGGELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1000 US HIGHWAY 82 E
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1704
Mailing Address - Country:US
Mailing Address - Phone:903-893-9636
Mailing Address - Fax:
Practice Address - Street 1:1000 US HIGHWAY 82 E
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-893-9636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1491225X00000X
TX115844225X00000X
NE966225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE966OtherOCCUPATIONAL THERAPY
TX115844OtherOCCUPATIONAL THERAPY
IA1491OtherOCCUPATIONAL THERAPY