Provider Demographics
NPI:1689894081
Name:SCHLENZ, KATHLEEN CORBETT
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:CORBETT
Last Name:SCHLENZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SENTINAL DR
Mailing Address - Street 2:
Mailing Address - City:PEACE DALE
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2368
Mailing Address - Country:US
Mailing Address - Phone:401-783-0909
Mailing Address - Fax:
Practice Address - Street 1:5 WOODRUFF AVE
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3424
Practice Address - Country:US
Practice Address - Phone:401-284-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI0100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist