Provider Demographics
NPI:1144242959
Name:STROWBRIDGE, HENDRIKA G (PT)
Entity Type:Individual
Prefix:
First Name:HENDRIKA
Middle Name:G
Last Name:STROWBRIDGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HENDRIKA
Other - Middle Name:
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5440 EVERHART RD
Mailing Address - Street 2:ST 1
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4838
Mailing Address - Country:US
Mailing Address - Phone:361-994-5224
Mailing Address - Fax:361-992-1933
Practice Address - Street 1:5440 EVERHART RD
Practice Address - Street 2:ST 1
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4838
Practice Address - Country:US
Practice Address - Phone:361-994-5224
Practice Address - Fax:361-992-1933
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1055994225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81471TOtherBLUE CROSS / BLUE SHIELD