Individual
DR. GREGORY PRESTON SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-12174
IL
225100000X
Physical Therapist
2005014046
MO
225100000X
Physical Therapist
Primary
6538047-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-012174
LICENSE
IL
01
—
2005014046
PT LICENSE NO.
MO
01
—
6538047-2401
PT LICENSE
UT
Enumeration date
05/13/2006
Last updated
10/15/2012
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