MEDICARE: MS. CAROL JEAN SCHROEDER OTR CHT

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	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487626669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROL JEAN SCHROEDER OTR CHT

Provider Business Mailing Address
First Line	:	457 S EMERSON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209
Country	:	US
Telephone Number	:	303-733-9057
Fax Number	:	303-733-9057

Provider Business Practice Location Address
First Line	:	1721 E 19TH AVE
Second Line	:	SUITE 220
City	:	DENVER
State	:	CO
Zip	:	80218-1251
Country	:	US
Telephone Number	:	303-830-8226
Fax Number	:	303-871-7067

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	06/17/2008

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