Healthcare Provider Details

I. General information

NPI: 1851208755
Provider Name (Legal Business Name): CATHRYN CRANDELL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 W CHANDLER BLVD STE 180
CHANDLER AZ
85224-6580
US

IV. Provider business mailing address

1860 N 95TH LN STE 105
PHOENIX AZ
85037-4333
US

V. Phone/Fax

Practice location:
  • Phone: 480-963-9339
  • Fax: 480-963-4098
Mailing address:
  • Phone: 480-963-9339
  • Fax: 480-963-4098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-010493
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: