Provider Demographics
NPI:1689447906
Name:MARTHE-SCHRADER, RANY EDANE (OTR/L)
Entity Type:Individual
Prefix:
First Name:RANY
Middle Name:EDANE
Last Name:MARTHE-SCHRADER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23191
Mailing Address - Street 2:
Mailing Address - City:GLADE PARK
Mailing Address - State:CO
Mailing Address - Zip Code:81523-0191
Mailing Address - Country:US
Mailing Address - Phone:970-250-9707
Mailing Address - Fax:
Practice Address - Street 1:2115 GRAND AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8007
Practice Address - Country:US
Practice Address - Phone:970-254-4872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001245225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist