Provider Demographics
NPI:1235712407
Name:SCHULZ, KAROLINE MARY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KAROLINE
Middle Name:MARY
Last Name:SCHULZ
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 1:275 PARRISH ST STE A
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1785
Mailing Address - Country:US
Mailing Address - Phone:585-393-0554
Mailing Address - Fax:
Practice Address - Street 1:20 STALLION CIR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3125
Practice Address - Country:US
Practice Address - Phone:585-281-7547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013026208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation