Healthcare Provider Details

I. General information

NPI: 1386561413
Provider Name (Legal Business Name): BREANA CRANE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 N MAGNOLIA AVE
SANTEE CA
92071-1704
US

IV. Provider business mailing address

PO BOX 582
LOS ALAMITOS CA
90720-0582
US

V. Phone/Fax

Practice location:
  • Phone: 619-956-2400
  • Fax:
Mailing address:
  • Phone: 562-522-3475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number24563
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: