Healthcare Provider Details

I. General information

NPI: 1376918763
Provider Name (Legal Business Name): BETHANY JOY SCHROEDER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 CHRISTINA DR APT 103
ROYAL PALM BEACH FL
33414-2197
US

IV. Provider business mailing address

630 CHRISTINA DR APT 103
ROYAL PALM BEACH FL
33414-2197
US

V. Phone/Fax

Practice location:
  • Phone: 713-614-4443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number23196
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: