Individual
MAGDALENA CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
151 ADAMS LN STE 11, MT JULIET, TN 37122-8320
(615) 773-1561
(615) 773-1564
Mailing address
142 BENJAMIN LN, HENDERSONVILLE, TN 37075-2983
(615) 596-8292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
11/03/2017
Last updated
05/28/2024
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