Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT000975E | PA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT000975E | PA |
NPI | 1144239617 |
---|---|
Provider Name | Kathleen S. Strait |
First Address | Millersburg, PA 17061-1258 |
Second Address | Elizabethtown, PA 17022-9547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 29/09/2009 |