Provider Demographics
NPI:1376735050
Name:SCHAIN, DEBORAH BLAND (OTRL)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:BLAND
Last Name:SCHAIN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 TRAMP HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3185
Mailing Address - Country:US
Mailing Address - Phone:732-615-9009
Mailing Address - Fax:
Practice Address - Street 1:1506 GULLY RD
Practice Address - Street 2:
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-4443
Practice Address - Country:US
Practice Address - Phone:732-681-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00110800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist