Provider Demographics
NPI:1144500588
Name:STRAUSS, DANA (DANA STRAUSS PT)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:DANA STRAUSS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BEECH TERRACE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-248-1068
Mailing Address - Fax:
Practice Address - Street 1:110 BEECH TER
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5065
Practice Address - Country:US
Practice Address - Phone:973-248-1068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00788500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist