Individual
MR. GARY C STRAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1132 CENTRAL AVE, JOHNSTON, RI 02919-2806
(508) 245-4685
Mailing address
1132 CENTRAL AVE, JOHNSTON, RI 02919-2806
(508) 245-4685
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00336
RI
225700000X
Massage Therapist
MT00949
RI
225X00000X
Occupational Therapist
2618
MA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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