Provider Demographics
NPI:1396004560
Name:STRAUSS, JESSICA ELIZA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ELIZA
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:ELIZA
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 3RD AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-8618
Mailing Address - Country:US
Mailing Address - Phone:914-907-0079
Mailing Address - Fax:
Practice Address - Street 1:202 AVENUE C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4514
Practice Address - Country:US
Practice Address - Phone:718-438-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017342174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist