Provider Demographics
NPI:1679712996
Name:STRAUCH, CARRIE (OTR)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:
Last Name:STRAUCH
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 1:244 WAVERLY PL
Mailing Address - Street 2:#4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2214
Mailing Address - Country:US
Mailing Address - Phone:212-647-0427
Mailing Address - Fax:212-647-0427
Practice Address - Street 1:244 WAVERLY PL
Practice Address - Street 2:#4B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2214
Practice Address - Country:US
Practice Address - Phone:212-647-0427
Practice Address - Fax:212-647-0427
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001686225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics