Provider Demographics
NPI:1124332424
Name:SCHUTZ, ANDREA FAITH (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:FAITH
Last Name:SCHUTZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 WEDGEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-9238
Mailing Address - Country:US
Mailing Address - Phone:727-946-0797
Mailing Address - Fax:
Practice Address - Street 1:3330 WEDGEWOOD WAY
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34688-9238
Practice Address - Country:US
Practice Address - Phone:727-946-0797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 4976225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics