Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 1150 | MS |
N | 2251S0007X | Physical Therapist - Sports | 1150 | MS |
Y | 2251X0800X | Physical Therapist - Orthopedic | 1150 | MS |
NPI | 1417398942 |
---|---|
Provider Name | Sarah Anne Schroeder |
First Address | Long Beach, MS 39560-4000 |
Second Address | Long Beach, MS 39560-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2013 |
Last Update Date | 12/07/2013 |