Healthcare Provider Details

I. General information

NPI: 1346418134
Provider Name (Legal Business Name): KAREN LYNN STROCHER PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N. ST.PAUL ST. SUITE 4200
DALLAS TX
75201
US

IV. Provider business mailing address

934 N 1500 EAST RD
OWANECO IL
62555-5572
US

V. Phone/Fax

Practice location:
  • Phone: 866-953-0011
  • Fax: 866-953-0012
Mailing address:
  • Phone: 217-879-2702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: