Provider Demographics
NPI:1871660076
Name:STRICKHAUSEN, CINDY LEA (OT)
Entity Type:Individual
Prefix:MISS
First Name:CINDY
Middle Name:LEA
Last Name:STRICKHAUSEN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12626 LANGFORD ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-9190
Mailing Address - Country:US
Mailing Address - Phone:409-925-8896
Mailing Address - Fax:409-935-3844
Practice Address - Street 1:6501 MEMORIAL DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-4015
Practice Address - Country:US
Practice Address - Phone:409-935-1393
Practice Address - Fax:409-935-3844
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001569225X00000X
TX101569225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist