Individual
MRS. SUSAN MARIE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9449
Mailing address
W9601 NORTH AVE, ANTIGO, WI 54409-9402
(715) 623-3113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1787-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40707200
—
WI
Enumeration date
04/03/2008
Last updated
10/28/2015
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