MEDICARE: COREY STRAILY

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	4851	CA

General Provider Information

NPI Number	:	1922712264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COREY STRAILY

Provider Business Mailing Address
First Line	:	3513 STEEL CANYON RD
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91978-2340
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 NORMAL ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2653
Country	:	US
Telephone Number	:	619-725-5501
Fax Number	:

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

Provider Enumeration Date	:	01/11/2023
Last Update Date	:	06/01/2026

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Directions to “ COREY STRAILY ” Practice Location

Language	Start Address	Practice Location

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