Provider Demographics
NPI:1396090304
Name:STRAUSS, MICHAEL (GOTA)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:GOTA
Other - Prefix:
Other - First Name:MICKEY
Other - Middle Name:
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9008 SW 36TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73179-6010
Mailing Address - Country:US
Mailing Address - Phone:405-887-6858
Mailing Address - Fax:
Practice Address - Street 1:1211 N SHARTEL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2400
Practice Address - Country:US
Practice Address - Phone:405-355-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant