Provider Demographics
NPI:1457803033
Name:SCHUH, SUZANNE (COTA)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:
Last Name:SCHUH
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 MOBLEY DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8271
Mailing Address - Country:US
Mailing Address - Phone:407-484-8202
Mailing Address - Fax:
Practice Address - Street 1:155 CRANES ROOST BLVD
Practice Address - Street 2:SUITE 2090
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3468
Practice Address - Country:US
Practice Address - Phone:407-388-8866
Practice Address - Fax:407-494-0644
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2016-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA9877224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant