Individual
JILL CRANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
806
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000662530
BCBS PIN
MT
01
—
3401736
MDCD PIN
MT
Enumeration date
09/12/2007
Last updated
04/11/2014
Update your record
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