Provider Demographics
NPI:1720469554
Name:SCHOONOVER, CARA (OTR, MOT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:OTR, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 PARKWOOD BLVD STE 704
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1920
Mailing Address - Country:US
Mailing Address - Phone:214-618-9341
Mailing Address - Fax:
Practice Address - Street 1:3550 PARKWOOD BLVD STE 704
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1920
Practice Address - Country:US
Practice Address - Phone:214-618-9341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116548225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics