Provider Demographics
NPI:1053697490
Name:STRODE, PAIGE SETTLES (OTR)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:SETTLES
Last Name:STRODE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-5686
Mailing Address - Country:US
Mailing Address - Phone:830-774-1556
Mailing Address - Fax:830-774-6150
Practice Address - Street 1:2201 N BEDELL AVE
Practice Address - Street 2:STE. B
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-8020
Practice Address - Country:US
Practice Address - Phone:830-774-1556
Practice Address - Fax:830-774-6150
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106942225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist