Individual
NICHOLE MARIE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
86 22ND AVE, MOUNDRIDGE, KS 67107-7003
(620) 345-2901
Mailing address
102 BLAKE AVE, MOUNDRIDGE, KS 67107-7513
(620) 747-2453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02546
KS
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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