Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | ||
Y | 225XG0600X | Occupational Therapist - Gerontology | 2442 | SC |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2442 | SC |
NPI | 1245992973 |
---|---|
Provider Name | Alison Crane |
First Address | Charleston, SC 29412-4424 |
Second Address | Charleston, SC 29412-4424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2021 |
Last Update Date | 11/10/2021 |