Provider Demographics
NPI:1639377146
Name:STRITZINGER, JEANNE M (COTA)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:M
Last Name:STRITZINGER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 DALTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-3540
Mailing Address - Country:US
Mailing Address - Phone:413-442-7337
Mailing Address - Fax:413-447-3882
Practice Address - Street 1:279 DALTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-3540
Practice Address - Country:US
Practice Address - Phone:413-442-7337
Practice Address - Fax:413-447-3882
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2537224Z00000X
NY003969224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant