MEDICARE: JULIA SCHROEDER BRENNAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10367	SC
2	225100000X	Physical Therapist	2017027001	MO

General Provider Information

NPI Number	:	1427568302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA SCHROEDER BRENNAN

Provider Business Mailing Address
First Line	:	1608 CAMP RD # 87
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-4012
Country	:	US
Telephone Number	:	314-330-3658
Fax Number	:

Provider Business Practice Location Address
First Line	:	1608 CAMP RD # 87
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-4012
Country	:	US
Telephone Number	:	314-330-3658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	10/31/2025

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