Individual
JOHANNA MAE STREHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1023 21ST ST, LEWISTON, ID 83501-3415
(208) 743-1795
(208) 743-1971
Mailing address
1023 21ST ST, LEWISTON, ID 83501-3415
(208) 743-1795
(208) 743-1971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00009360
WA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PT-1861
ID
Other
Enumeration date
02/15/2007
Last updated
12/21/2020
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