Provider Demographics
NPI:1053459610
Name:STRAUSS, ANDREW HOWARD (MPT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HOWARD
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4560 PORTOFINO WAY
Mailing Address - Street 2:#112
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-8143
Mailing Address - Country:US
Mailing Address - Phone:561-386-3661
Mailing Address - Fax:
Practice Address - Street 1:4560 PORTOFINO WAY
Practice Address - Street 2:#112
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-8143
Practice Address - Country:US
Practice Address - Phone:561-386-3661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18525225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist