Provider Demographics
NPI:1710957667
Name:SCHRODER, JAMES W (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:SCHRODER
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:5400 W HILLSDALE AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8222
Mailing Address - Country:US
Mailing Address - Phone:559-739-2010
Mailing Address - Fax:559-739-2097
Practice Address - Street 1:5400 W HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-8222
Practice Address - Country:US
Practice Address - Phone:559-739-2010
Practice Address - Fax:559-739-2097
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT15510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA178114Medicare PIN