Provider Demographics
NPI:1407322902
Name:SCHOENAUER, CORINNE JEANETTE (OTRL)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:JEANETTE
Last Name:SCHOENAUER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:JEANETTE
Other - Last Name:NEMETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:165 WASHINGTON AVE N
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49037-2929
Mailing Address - Country:US
Mailing Address - Phone:269-245-3615
Mailing Address - Fax:
Practice Address - Street 1:165 WASHINGTON AVE N
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037
Practice Address - Country:US
Practice Address - Phone:269-245-3615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201004844225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist