Provider Demographics
NPI:1194294173
Name:STRAUSBAUGH, CASIE JANE
Entity type:Individual
Prefix:
First Name:CASIE
Middle Name:JANE
Last Name:STRAUSBAUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 WYNGATE RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-4486
Mailing Address - Country:US
Mailing Address - Phone:717-818-9394
Mailing Address - Fax:
Practice Address - Street 1:2660 WYNGATE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-4486
Practice Address - Country:US
Practice Address - Phone:717-818-9394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT18655225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist