Provider Demographics
NPI:1225264922
Name:STRATZ, TERESA (MA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:
Last Name:STRATZ
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9906 OWENSMOUTH AVE
Mailing Address - Street 2:24
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3832
Mailing Address - Country:US
Mailing Address - Phone:818-384-0646
Mailing Address - Fax:818-993-7393
Practice Address - Street 1:9906 OWENSMOUTH AVE
Practice Address - Street 2:24
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3832
Practice Address - Country:US
Practice Address - Phone:818-384-0646
Practice Address - Fax:818-993-7393
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6075171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor