Mrs. Sophia Annmarie Craddock
Occupational Therapy Assistant
6600 Peachtree Dunwoody Rd Bldg 40030328
Atlanta
, Georgia 30328-6773
Mrs. Sophia Annmarie Craddock
Occupational Therapy Assistant
6600 Peachtree Dunwoody Rd Bldg 40030328
Atlanta
, Georgia 30328-6773
(914) 356-4756
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Sophia Annmarie Craddock
- 2442 Barn Horse Ct
- Dacula, GA
- Zip : 30019-7505
- Phone : (914) 356-4756
Second Address
- Mrs. Sophia Annmarie Craddock
- 6600 Peachtree Dunwoody Rd Bldg 40030328
- Atlanta, GA
- Zip : 30328-6773
- Phone : (678) 587-9922
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002315 | GA |
National Provider Identifier
| NPI | 1013491729 |
|---|---|
| Provider Name | Mrs. Sophia Annmarie Craddock |
| First Address | Dacula, GA 30019-7505 |
| Second Address | Atlanta, GA 30328-6773 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2018 |
| Last Update Date | 18/09/2018 |
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.