Provider Demographics
NPI:1538761424
Name:SCHOFIELD, ANNE (MSOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:TRUJILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1610 NASH DR
Mailing Address - Street 2:
Mailing Address - City:DARDENNE PRAIRIE
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7068
Mailing Address - Country:US
Mailing Address - Phone:314-605-3364
Mailing Address - Fax:
Practice Address - Street 1:2501 MEXICO RD
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-8102
Practice Address - Country:US
Practice Address - Phone:314-605-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005006457225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist