Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | P5760 | NC |
Y | 2251N0400X | Physical Therapist - Neurology | P5760 | NC |
NPI | 1528446275 |
---|---|
Provider Name | Lori Schrodt |
First Address | Cullowhee, NC 28723 |
Second Address | Cullowhee, NC 28723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2015 |
Last Update Date | 14/05/2015 |