Provider Demographics
NPI:1104055755
Name:CRAWFORD, FRANCENIA R (OTR)
Entity type:Individual
Prefix:
First Name:FRANCENIA
Middle Name:R
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:FRANCENIA
Other - Middle Name:R
Other - Last Name:NORMAN-CRAWFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:413 JAX ESTATES DR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-2509
Mailing Address - Country:US
Mailing Address - Phone:904-374-4390
Mailing Address - Fax:
Practice Address - Street 1:11565 HARTS RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-3777
Practice Address - Country:US
Practice Address - Phone:904-751-1834
Practice Address - Fax:904-751-3731
Is Sole Proprietor?:No
Enumeration Date:2009-07-03
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT1697225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist