Provider Demographics
NPI:1063125136
Name:STRUNK, SHELLEY LYNN (OTR/L)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:LYNN
Last Name:STRUNK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 N TURNER ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1452
Mailing Address - Country:US
Mailing Address - Phone:610-698-7829
Mailing Address - Fax:
Practice Address - Street 1:100 TOMAHAWK DR
Practice Address - Street 2:
Practice Address - City:KUTZTOWN
Practice Address - State:PA
Practice Address - Zip Code:19530-8256
Practice Address - Country:US
Practice Address - Phone:484-426-2021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006663L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist