Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00527000 | NJ |
NPI | 1295368314 |
---|---|
Provider Name | Erica Strasser |
First Address | Jackson, NJ 08527-2119 |
Second Address | Jackson, NJ 08527-2119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2020 |
Last Update Date | 17/02/2020 |