Provider Demographics
NPI:1003292020
Name:CRANE, EVAINE DELANEY (DPT)
Entity Type:Individual
Prefix:MRS
First Name:EVAINE
Middle Name:DELANEY
Last Name:CRANE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:EVAINE
Other - Middle Name:DELANEY
Other - Last Name:NIEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3825 TRUEMAN CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2496
Mailing Address - Country:US
Mailing Address - Phone:614-334-1898
Mailing Address - Fax:614-334-2020
Practice Address - Street 1:3825 TRUEMAN CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2496
Practice Address - Country:US
Practice Address - Phone:614-334-1898
Practice Address - Fax:614-334-2020
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14770225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist