Provider Demographics
NPI:1801868591
Name:STRAUCH, HEATHER L (MS,PT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:STRAUCH
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 FRANKLIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5938
Mailing Address - Country:US
Mailing Address - Phone:230-227-8229
Mailing Address - Fax:203-583-3958
Practice Address - Street 1:37 FRANKLIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5938
Practice Address - Country:US
Practice Address - Phone:230-227-8229
Practice Address - Fax:203-583-3958
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist