Provider Demographics
NPI:1235374463
Name:SCHMIDT, ABBY RENEE (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:ABBY
Middle Name:RENEE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 SHERMAN ST
Mailing Address - Street 2:SUITE 470
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2564
Mailing Address - Country:US
Mailing Address - Phone:651-209-6520
Mailing Address - Fax:651-209-6521
Practice Address - Street 1:360 SHERMAN ST
Practice Address - Street 2:SUITE 470
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2564
Practice Address - Country:US
Practice Address - Phone:651-209-6520
Practice Address - Fax:651-209-6521
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103642225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist