Provider Demographics
NPI:1528725140
Name:KRAFT, JAYME (OTR/L)
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:KRAFT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 RHODE ISLAND AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1474
Mailing Address - Country:US
Mailing Address - Phone:484-772-7651
Mailing Address - Fax:
Practice Address - Street 1:3807 RHODE ISLAND AVE APT 314
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-1474
Practice Address - Country:US
Practice Address - Phone:484-772-7651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09256225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist