| Doctor Name: | MS. LISA ANNE SCHROEDER |
| NPI Number: | 1124169305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., O.C.S. |
| License Number: | PT18189 |
| Business Practice Address: | 7 East Meadow Lane Oak Bluffs, MA - 025570768 |
| Business Phone Number: | 3106284885 |
| Business Fax Number: | 2134772139 |
| Mailing Address: | Po Box 768, OAK BLUFFS |
| State: | MA |
| Postal Code: | 025570768 |
| Phone Number: | 3106284885 |
| Fax Number: | 2134772139 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 12/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT18189 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |