Provider Demographics
NPI:1750029864
Name:STROHMEYER, JACLYN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JACLYN
Middle Name:
Last Name:STROHMEYER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WOODLAND TRCE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8074
Mailing Address - Country:US
Mailing Address - Phone:216-644-0701
Mailing Address - Fax:
Practice Address - Street 1:46 NICHOLS ST # 5701
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-3275
Practice Address - Country:US
Practice Address - Phone:802-775-2941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMOT4725225X00000X
COOT.0007743225X00000X
TX122727225X00000X
VT072.0134349225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist