Provider Demographics
NPI:1609474659
Name:STRAYER, STEVEN C (PT, DPT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:STRAYER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29058 WHITE RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3662
Mailing Address - Country:US
Mailing Address - Phone:419-670-3326
Mailing Address - Fax:
Practice Address - Street 1:3529 RIVERS EDGE DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1672
Practice Address - Country:US
Practice Address - Phone:419-874-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH018229225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist