Provider Demographics
NPI:1215407465
Name:STRATTON, KATRINA ANNALESE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:ANNALESE
Last Name:STRATTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:ANNALESE
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 E COLE AVE
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-3107
Mailing Address - Country:US
Mailing Address - Phone:630-690-7115
Mailing Address - Fax:630-690-9037
Practice Address - Street 1:219 E COLE AVE
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-3107
Practice Address - Country:US
Practice Address - Phone:630-690-7115
Practice Address - Fax:630-690-9037
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XL0004X
IL056.012780225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision