Provider Demographics
NPI:1932897774
Name:STRAUSER, SARA L
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:STRAUSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 S GROVES ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-2216
Mailing Address - Country:US
Mailing Address - Phone:985-273-4275
Mailing Address - Fax:
Practice Address - Street 1:412 S GROVES ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:NC
Practice Address - Zip Code:28034-2216
Practice Address - Country:US
Practice Address - Phone:985-273-4275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12635225700000X
NC19844225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist