Provider Demographics
NPI:1669504783
Name:SCHULKEN, TONI MARIE (OTR)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:MARIE
Last Name:SCHULKEN
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 1:8045 PROVIDENCE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8745
Mailing Address - Country:US
Mailing Address - Phone:704-540-5252
Mailing Address - Fax:704-540-5755
Practice Address - Street 1:8045 PROVIDENCE RD
Practice Address - Street 2:STE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8745
Practice Address - Country:US
Practice Address - Phone:704-540-5252
Practice Address - Fax:704-540-5755
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3224174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist