KEENAN RUSSELL SCHUMM

MCALLEN, TX
NPI1720389463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  210627)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IN  32001772a)
224Z00000X Occupational Therapy Assistant
(Licence: WA  oc60138335)
Enumeration Date2010-11-11
Last Update Date2010-11-11
Business Address
-- KEENAN RUSSELL SCHUMM COTA
3611 N WARE RD.
MCALLEN, TX 78501
Phone number: 956-688-6969
Mailing Address
-- KEENAN RUSSELL SCHUMM COTA
13016 MAIN ST.
LEO, IN 46765-9639
Phone number: 260-804-2161