Courtney Anne Crandall
Occupational Therapist Occupational Therapist - Gerontology
170 N Kings Rd
Ormond Beach
, Florida 32174-5118
Courtney Anne Crandall
Occupational Therapist Occupational Therapist - Gerontology
170 N Kings Rd
Ormond Beach
, Florida 32174-5118
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Courtney Anne Crandall
- 720 W River Oak Dr
- Ormond Beach, FL
- Zip : 32174-4642
- Phone :
Second Address
- Courtney Anne Crandall
- 170 N Kings Rd
- Ormond Beach, FL
- Zip : 32174-5118
- Phone : (386) 677-7955
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT 11351 | FL |
| N | 225XG0600X | Occupational Therapist - Gerontology | OT 11351 | FL |
National Provider Identifier
| NPI | 1750510699 |
|---|---|
| Provider Name | Courtney Anne Crandall |
| First Address | Ormond Beach, FL 32174-4642 |
| Second Address | Ormond Beach, FL 32174-5118 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2009 |
| Last Update Date | 14/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.