MEDICARE: MRS. SARA-KATHRYN G CRANFORD PT

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
1	225100000X	Physical Therapist	30017	FL

General Provider Information

NPI Number	:	1164500013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA-KATHRYN G CRANFORD PT

Provider Business Mailing Address
First Line	:	25910 CANAL RD P
Second Line	:
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-5014
Country	:	US
Telephone Number	:	251-981-7778
Fax Number	:	251-981-7773

Provider Business Practice Location Address
First Line	:	25910 CANAL RD P
Second Line	:
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-5014
Country	:	US
Telephone Number	:	251-981-7778
Fax Number	:	251-981-7773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/27/2015

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