Organization
CYGNET SCHROEDER DO PA
Active
Organization
CYGNET SCHROEDER DO PA
Active
Other names
CYGNET SCHROEDER DO PA
Organization subpart
No
Provider details
NPI number
Authorized official
CYGNET ANN SCHROEDER DO (PRESIDENT)
(479) 478-8555
Entity
Organization
Contact information
Practice address
1401 S J ST, FORT SMITH, AR 72901-5158
(479) 478-8555
(479) 478-8568
Mailing address
PO BOX 3363, FORT SMITH, AR 72913-3363
(479) 478-8555
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
R4158
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149716002
—
AR
01
—
250014112
MEDICARE RAIL ROAD
—
Enumeration date
08/13/2006
Last updated
04/15/2013
Update your record
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