Provider Demographics
NPI:1013135037
Name:STROUP, ALEXANDER (OTR)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:STROUP
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7896 GRACE CIR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-4336
Mailing Address - Country:US
Mailing Address - Phone:302-262-3231
Mailing Address - Fax:
Practice Address - Street 1:7896 GRACE CIR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-4336
Practice Address - Country:US
Practice Address - Phone:410-292-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0001356225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist