Individual
MRS. INGRID ELLEN SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1203 BARTLETT AVENUE, ALTOONA, WI 54720
(608) 213-2927
Mailing address
1203 BARTLETT AVENUE, ALTOONA, WI 54720
(608) 213-2927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4613
AZ
224Z00000X
Occupational Therapy Assistant
Primary
4899-27
WI
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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