Provider Demographics
NPI:1033710470
Name:STRAUTMAN, ERICA KAYLYNNE (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:KAYLYNNE
Last Name:STRAUTMAN
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WALTERSCHEID BLVD APT 6-105
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-2042
Mailing Address - Country:US
Mailing Address - Phone:281-224-9577
Mailing Address - Fax:
Practice Address - Street 1:903 S GREELEY HWY STE B
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-3057
Practice Address - Country:US
Practice Address - Phone:307-634-2109
Practice Address - Fax:307-683-4005
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYOT-1534225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics