Provider Demographics
NPI:1881966687
Name:BAUERSCHMIDT, BREE ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:BREE
Middle Name:ANN
Last Name:BAUERSCHMIDT
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 1:376 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-9495
Mailing Address - Country:US
Mailing Address - Phone:419-215-6786
Mailing Address - Fax:
Practice Address - Street 1:300 CHERRY ST
Practice Address - Street 2:
Practice Address - City:GENOA
Practice Address - State:OH
Practice Address - Zip Code:43430-1823
Practice Address - Country:US
Practice Address - Phone:419-855-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH006998225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist