Provider Demographics
NPI:1215145446
Name:KRANTZ, LINDA JOAN (PT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JOAN
Last Name:KRANTZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1163
Mailing Address - Country:US
Mailing Address - Phone:510-704-9501
Mailing Address - Fax:510-704-9501
Practice Address - Street 1:5000 HOPYARD RD
Practice Address - Street 2:SUITE 220
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3348
Practice Address - Country:US
Practice Address - Phone:925-730-0950
Practice Address - Fax:800-216-0289
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20968225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist