MEDICARE: ANNA STROH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OTP-OT--LIC-4642	MT
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1699222554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA STROH

Provider Business Mailing Address
First Line	:	2301 NOGALES WAY
Second Line	:	APT 304
City	:	GILLETTE
State	:	WY
Zip	:	82716-2353
Country	:	US
Telephone Number	:	307-760-2587
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 WILSON ST
Second Line	:
City	:	MILES CITY
State	:	MT
Zip	:	59301-5078
Country	:	US
Telephone Number	:	307-760-2587
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	11/25/2020

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Directions to “ ANNA STROH ” Practice Location

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