Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT-4291 | OH |
N | 2251S0007X | Physical Therapist - Sports | PT-4291 | OH |
NPI | 1396848370 |
---|---|
Provider Name | Patricia J. Strazar |
First Address | Hinckley, OH 44233-9561 |
Second Address | Hinckley, OH 44233-9561 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2337224 | (05) | OH |