Healthcare Provider Details

I. General information

NPI: 1801868591
Provider Name (Legal Business Name): HEATHER L. STRAUCH MS,PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 FRANKLIN ST SUITE 103
WESTPORT CT
06880-5938
US

IV. Provider business mailing address

37 FRANKLIN ST SUITE 103
WESTPORT CT
06880-5938
US

V. Phone/Fax

Practice location:
  • Phone: 230-227-8229
  • Fax: 203-583-3958
Mailing address:
  • Phone: 230-227-8229
  • Fax: 203-583-3958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number007690
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: