Healthcare Provider Details
I. General information
NPI: 1205759933
Provider Name (Legal Business Name): SASHA STRAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
291 HARDING HWY
CARNEYS POINT NJ
08069-2344
US
IV. Provider business mailing address
291 HARDING HWY
CARNEYS POINT NJ
08069-2344
US
V. Phone/Fax
- Phone: 856-299-9229
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225200000X |
| Taxonomy | Physical Therapy Assistant |
| License Number | 40QB00357600 |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: