Individual
DIANE CRANENDONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS
Contact information
Practice address
2925 POLO PARKWAY, MIDLOTHIAN, VA 23113
(804) 794-7587
(804) 794-4560
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003160
VA
Other
Enumeration date
07/05/2005
Last updated
04/13/2018
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