Provider Demographics
NPI:1801150065
Name:SCHAUB, DEVON (OT)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:
Other - Last Name:LANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1472 KEY LIME CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-5756
Mailing Address - Country:US
Mailing Address - Phone:863-258-5688
Mailing Address - Fax:
Practice Address - Street 1:330 AVENUE C SE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3243
Practice Address - Country:US
Practice Address - Phone:863-268-2930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056007170225X00000X
FLOT23449225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist