Provider Demographics
NPI:1659885952
Name:SCHINEMAN, STEPHANIE F (CTRS)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:F
Last Name:SCHINEMAN
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:F
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3588 PLYMOUTH RD # 393
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2603
Mailing Address - Country:US
Mailing Address - Phone:734-352-3543
Mailing Address - Fax:
Practice Address - Street 1:216 W MCKAY ST
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1122
Practice Address - Country:US
Practice Address - Phone:517-588-5871
Practice Address - Fax:517-588-5871
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist