Provider Demographics
NPI:1417083759
Name:STRASMAN, RUTH (OTR)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:STRASMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 SE 4TH AVE
Mailing Address - Street 2:# 142
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-6977
Mailing Address - Country:US
Mailing Address - Phone:754-366-3517
Mailing Address - Fax:954-480-9381
Practice Address - Street 1:1428 SE 4TH AVE
Practice Address - Street 2:# 142
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-6977
Practice Address - Country:US
Practice Address - Phone:754-366-3517
Practice Address - Fax:954-480-9381
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11462225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL890397200Medicaid