Provider Demographics
NPI:1871195016
Name:STRAIT, JOSHUA DAVID (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:STRAIT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230B MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HULMEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5635
Mailing Address - Country:US
Mailing Address - Phone:607-346-6064
Mailing Address - Fax:
Practice Address - Street 1:901 N BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-1306
Practice Address - Country:US
Practice Address - Phone:267-462-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA028856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist