Provider Demographics
NPI:1114737640
Name:CRAFT, SYDNI RAE (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:SYDNI
Middle Name:RAE
Last Name:CRAFT
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8881 SW MONTOVA WAY
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-8708
Mailing Address - Country:US
Mailing Address - Phone:772-275-5549
Mailing Address - Fax:
Practice Address - Street 1:8881 SW MONTOVA WAY
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-8708
Practice Address - Country:US
Practice Address - Phone:772-275-5549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT25089225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist