Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | PT014190L | PA |
Y | 225100000X | Physical Therapist | PT014190L | PA |
N | 2251S0007X | Physical Therapist - Sports | PA |
NPI | 1407819006 |
---|---|
Provider Name | Joseph A Stroz |
First Address | Windber, PA 15963-1718 |
Second Address | Windber, PA 15963-1718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 02/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010295800001 | (05) | PA |