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NPI Code Detail

MEDICARE: SUSAN APRIL CRANE OTR/L

MEDICARE:   SUSAN APRIL CRANE  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist26259CA

General Provider Information

NPI Number : 1568093623
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN APRIL CRANE OTR/L
Provider Business Mailing Address
First Line : 4521 COLBATH AVE APT 103
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-2904
Country : US
Telephone Number : 904-416-4883
Fax Number :
Provider Business Practice Location Address
First Line : 2625 TOWNSGATE RD STE 102
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-5726
Country : US
Telephone Number : 904-416-4883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2020
Last Update Date : 05/07/2025

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Directions to “ SUSAN APRIL CRANE OTR/L” Practice Location

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