Provider Demographics
NPI:1326341025
Name:SCHAAB, CAROL JEANNE (OTR)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JEANNE
Last Name:SCHAAB
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 E MICHIGAN HWY
Mailing Address - Street 2:
Mailing Address - City:ROSCOMMON
Mailing Address - State:MI
Mailing Address - Zip Code:48653-8757
Mailing Address - Country:US
Mailing Address - Phone:616-633-9612
Mailing Address - Fax:989-275-4808
Practice Address - Street 1:1290 E MICHIGAN HWY
Practice Address - Street 2:
Practice Address - City:ROSCOMMON
Practice Address - State:MI
Practice Address - Zip Code:48653-8757
Practice Address - Country:US
Practice Address - Phone:989-275-8936
Practice Address - Fax:989-275-4808
Is Sole Proprietor?:No
Enumeration Date:2010-12-19
Last Update Date:2010-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000464225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation