Individual
MS. ELIZABETH MARY CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1925 ESSEX FARMS DR, CHARLESTON, SC 29414-6696
(843) 779-1685
Mailing address
1925 ESSEX FARMS DR, CHARLESTON, SC 29414-6696
(843) 779-1685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3503
SC
225XP0200X
Pediatric Occupational Therapist
OT11852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890608400
—
FL
Enumeration date
08/24/2006
Last updated
01/28/2025
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