Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | NMT005737 | GA |
NPI | 1235364381 |
---|---|
Provider Name | Ms. Sabrina D Cranor |
First Address | Mcdonough, GA 30253 |
Second Address | Mcdonough, GA 30253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 19/05/2009 |