Provider Demographics
NPI:1205891926
Name:STRACCO, HEATHER L (PT)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:STRACCO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 SIEGFRIEDALE RD
Mailing Address - Street 2:
Mailing Address - City:KUTZTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19530-8401
Mailing Address - Country:US
Mailing Address - Phone:201-912-6081
Mailing Address - Fax:
Practice Address - Street 1:319 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-1605
Practice Address - Country:US
Practice Address - Phone:215-957-6060
Practice Address - Fax:215-293-9902
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017441225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAWA097698Medicare ID - Type UnspecifiedMEDICARE ID