MEDICARE: JENNIFER CRANDALL OTD, OTR/L, CBIS

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	225X00000X	Occupational Therapist	1710	AZ

General Provider Information

NPI Number	:	1356892749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER CRANDALL OTD, OTR/L, CBIS

Provider Business Mailing Address
First Line	:	1229 N ALMA SCHOOL RD
Second Line	:	UNIT 10
City	:	MESA
State	:	AZ
Zip	:	85201-1920
Country	:	US
Telephone Number	:	480-215-4122
Fax Number	:

Provider Business Practice Location Address
First Line	:	1229 N ALMA SCHOOL RD
Second Line	:	UNIT 10
City	:	MESA
State	:	AZ
Zip	:	85201-1920
Country	:	US
Telephone Number	:	480-215-4122
Fax Number	:

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

Provider Enumeration Date	:	10/20/2016
Last Update Date	:	10/20/2016

Similar Medicare Providers

1942152731 — ALEXIS NIKOLE SCHWAN
Practice Location Address:

1148 E LOCKWOOD ST
MESA, AZ
85203-1920

Practice Phone: 480-578-1753
Practice Fax:

1992727192 — MR. JEFFREY ALAN DONNELLY RPH
Practice Location Address:

1920 W BROADWAY RD
MESA, AZ
85202-1127

Practice Phone: 480-833-0731
Practice Fax: 480-835-9167

1972692721 — STAPLEY DENTAL GROUP, PROFESSIONAL CORPORATION
Practice Location Address:

1920 S STAPLEY DR , STE. 105
MESA, AZ
85204-6678

Practice Phone: 480-545-5300
Practice Fax: 480-545-5303

1922494913 — ARSHAD JIFFRY M.D.
Practice Location Address:

1920 MESA VIEW LN
REDLANDS, CA
92373-6968

Practice Phone: 909-747-7542
Practice Fax:

1558723213 — DR. BROCH THOMAS D.M.D.
Practice Location Address:

1920 S STAPLEY DR STE 105
MESA, AZ
85204-6678

Practice Phone: 480-545-5300
Practice Fax: 480-545-5303

1033696620 — JOHN M LOPEZ DMD
Practice Location Address:

1920 S STAPLEY DR STE 105
MESA, AZ
85204-6678

Practice Phone: 480-545-5300
Practice Fax:

Directions to “ JENNIFER CRANDALL OTD, OTR/L, CBIS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.