Provider Demographics
NPI:1902373269
Name:DAWSON-STROTHER, STACI LYNETTE (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:STACI
Middle Name:LYNETTE
Last Name:DAWSON-STROTHER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 VIRGINIA PINES LN
Mailing Address - Street 2:
Mailing Address - City:HUNTLY
Mailing Address - State:VA
Mailing Address - Zip Code:22640-3144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1415 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3009
Practice Address - Country:US
Practice Address - Phone:540-662-3888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist