Organization
LIL SCHROEDER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIL SCHROEDER PT (OWNER)
(952) 946-6926
Entity
Organization
Contact information
Practice address
5200 W 73RD ST, EDINA, MN 55439-2204
(952) 946-6926
Mailing address
6925 VALLEY VIEW RD, EDINA, MN 55439-1649
(952) 946-6926
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401451
MEDICA
MN
01
—
8B832SC
MN BCBS
MN
Enumeration date
01/30/2007
Last updated
08/22/2020
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