Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC008620 | PA |
N | 2251E1200X | Ergonomics | ||
N | 225XE1200X | Ergonomics | ||
N | 225XH1200X | Occupational Therapist - Hand |
NPI | 1164419735 |
---|---|
Provider Name | Stephanie Dawn Strouse |
First Address | Tamaqua, PA 18252-4431 |
Second Address | Tamaqua, PA 18252-4431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 19/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11360980 | CAQH (01) | |
1660739 | HIGHMARK BLUE SHIELD (01) | |
2001019 | KEYSTONE (01) | |
2336610000 | INDEPENDENCE BLUE CROSS (01) | |
254293 | HEALTH ASSURANCE (01) | |
3738457 | AETNA HMO (01) | |
50044127 | CAPITAL BLUE CROSS (01) | |
7547629 | AETNA PPO (01) | |
818779 | FIRST PRIORITY HEALTH (01) | |
P00276070 | RAILROAD MEDICARE (01) | |
Q31640 | (02) |