Provider Demographics
NPI:1992049340
Name:STRICK, AIMEE DIANE
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:DIANE
Last Name:STRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:AIMEE
Other - Middle Name:DIANE
Other - Last Name:STRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:15050 KUTZTOWN RD
Mailing Address - Street 2:
Mailing Address - City:KUTZTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19530-9275
Mailing Address - Country:US
Mailing Address - Phone:610-683-5686
Mailing Address - Fax:
Practice Address - Street 1:15050 KUTZTOWN RD
Practice Address - Street 2:
Practice Address - City:KUTZTOWN
Practice Address - State:PA
Practice Address - Zip Code:19530-9275
Practice Address - Country:US
Practice Address - Phone:610-683-5686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist