Provider Demographics
NPI:1003889338
Name:CRANMER, WILLIAM JAMES (ATC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JAMES
Last Name:CRANMER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2008 WILDEWOOD CENTER
Mailing Address - Street 2:PMB 220
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619
Mailing Address - Country:US
Mailing Address - Phone:301-997-0656
Mailing Address - Fax:
Practice Address - Street 1:18952 E FISHER RD
Practice Address - Street 2:DEPARTMENT OF ATHLETICS
Practice Address - City:ST MARYS CITY
Practice Address - State:MD
Practice Address - Zip Code:20686-3002
Practice Address - Country:US
Practice Address - Phone:240-895-2135
Practice Address - Fax:240-895-4480
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer