Provider Demographics
NPI:1982371720
Name:SCHULZ, CELIA (OT,PHD,OTR)
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:OT,PHD,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:WEST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02574-0658
Mailing Address - Country:US
Mailing Address - Phone:774-392-2624
Mailing Address - Fax:
Practice Address - Street 1:850 W FALMOUTH HWY APT 2
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2191
Practice Address - Country:US
Practice Address - Phone:774-392-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-29
Last Update Date:2021-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3720225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist