Healthcare Provider Details

I. General information

NPI: 1124166160
Provider Name (Legal Business Name): ANN L STRZELECKI PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S BRADLEY HWY SUITE 6
ROGERS CITY MI
49779-2139
US

IV. Provider business mailing address

11339 MICHIGAN AVE
POSEN MI
49776-9015
US

V. Phone/Fax

Practice location:
  • Phone: 989-734-4254
  • Fax: 989-734-8914
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: