Provider Demographics
NPI:1821228867
Name:SCHNEIDER, WENDY S (RPTA/COTA)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:S
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:RPTA/COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 VILLAGE ST
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-1737
Mailing Address - Country:US
Mailing Address - Phone:508-376-4228
Mailing Address - Fax:
Practice Address - Street 1:655 DEDHAM ST
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1135
Practice Address - Country:US
Practice Address - Phone:508-384-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA340224Z00000X
MA350225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant