Provider Demographics
NPI:1720030661
Name:STRICKLAND, HENRY WAYNE JR (PT)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:WAYNE
Last Name:STRICKLAND
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 OAKAPPLE TRL
Mailing Address - Street 2:
Mailing Address - City:LAKE HELEN
Mailing Address - State:FL
Mailing Address - Zip Code:32744-2033
Mailing Address - Country:US
Mailing Address - Phone:386-228-4049
Mailing Address - Fax:866-509-2191
Practice Address - Street 1:207 OAKAPPLE TRL
Practice Address - Street 2:
Practice Address - City:LAKE HELEN
Practice Address - State:FL
Practice Address - Zip Code:32744-2033
Practice Address - Country:US
Practice Address - Phone:386-228-4049
Practice Address - Fax:866-509-2191
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU8114ZMedicare PIN