Provider Demographics
NPI:1689831646
Name:CRANE, CHEMAINE ANNE (MOTR/L, DPT)
Entity type:Individual
Prefix:
First Name:CHEMAINE
Middle Name:ANNE
Last Name:CRANE
Suffix:
Gender:F
Credentials:MOTR/L, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 N HIMES AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6655
Mailing Address - Country:US
Mailing Address - Phone:904-687-4705
Mailing Address - Fax:
Practice Address - Street 1:4107 N HIMES AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6655
Practice Address - Country:US
Practice Address - Phone:904-687-4705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 13143225X00000X
FLPT 24103225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist