Individual
DEBORAH ELAINE KRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
6121 CASTLEBROOKE LANE, LINDEN, NC 28356-8042
(910) 995-7695
Mailing address
6121 CASTLEBROOKE LANE, LINDEN, NC 28356-8042
(910) 995-7695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072-0000378
VT
225X00000X
Occupational Therapist
Primary
6344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509091
CIGNA--CORRECTION
VT
05
—
1008318
—
VT
01
—
11453890
CAQH
—
01
—
3478998
AETNA
VT
01
—
5816501
FAHC PREFERRED
VT
01
—
58507
BLUE CROSS BLUE SHIELD
VT
01
—
750214
MVP
VT
01
—
EMI5816501
VMC
VT
Enumeration date
08/28/2005
Last updated
08/03/2009
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