| NPI | 1629113873 |
|---|---|
| Former Name | JAMIE LYNN SCHROEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7460) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |