Provider Demographics
NPI:1720686462
Name:SCHUMAN, ANDREW (COTA/L, CWC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:SCHUMAN
Suffix:
Gender:M
Credentials:COTA/L, CWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 E TURNEY AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-5313
Mailing Address - Country:US
Mailing Address - Phone:480-329-3493
Mailing Address - Fax:
Practice Address - Street 1:7550 N 16TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4618
Practice Address - Country:US
Practice Address - Phone:602-371-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4965208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation