| Doctor Name: | MITCHELL OWEN SCHROEDER |
| NPI Number: | 1659760619 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, ATC |
| License Number: | 0013159 |
| Business Practice Address: | 6930 Warner Ave. Huntington Beach, CA - 92647 |
| Business Phone Number: | 7148473800 |
| Business Fax Number: | 7148471413 |
| Mailing Address: | 2020 Fullerton Ave., Apt. 23 COSTA MESA |
| State: | CA |
| Postal Code: | 92627 |
| Phone Number: | 3037284177 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2015 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0013159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |