Provider Demographics
NPI:1699973065
Name:CRANE, JULIE LOUISE (OTR/L, MBA)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LOUISE
Last Name:CRANE
Suffix:
Gender:F
Credentials:OTR/L, MBA
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LOUISE
Other - Last Name:COORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, MBA
Mailing Address - Street 1:13537 BARRETT PARKWAY DRIVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5866
Mailing Address - Country:US
Mailing Address - Phone:314-821-9126
Mailing Address - Fax:314-821-9142
Practice Address - Street 1:951 WATERBURY FALLS DRIVE
Practice Address - Street 2:
Practice Address - City:O'FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2202
Practice Address - Country:US
Practice Address - Phone:636-336-0300
Practice Address - Fax:636-336-0297
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004192225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation