Provider Demographics
NPI:1699870410
Name:CRAFT, LINDA B (OTR)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:B
Last Name:CRAFT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 ROSE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-1559
Mailing Address - Country:US
Mailing Address - Phone:610-326-6179
Mailing Address - Fax:610-326-6179
Practice Address - Street 1:1524 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3348
Practice Address - Country:US
Practice Address - Phone:610-275-0330
Practice Address - Fax:610-275-2455
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006929L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA074434NV7Medicare ID - Type Unspecified