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Individual

MS. LESLIE A SCHROEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
10001 S WESTERN AVE, 204, OKLAHOMA CITY, OK 73139-2997
(405) 691-5434
(405) 692-3403
Mailing address
10001 S WESTERN AVE, 204, OKLAHOMA CITY, OK 73139-2997
(405) 691-5434
(405) 692-3403

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1051
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200281230A
OK
01
P00472000
RR MEDICARE
OK
Enumeration date
03/24/2006
Last updated
04/28/2010
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