Provider Demographics
NPI:1164500013
Name:CRANFORD, SARA-KATHRYN G (PT)
Entity Type:Individual
Prefix:MRS
First Name:SARA-KATHRYN
Middle Name:G
Last Name:CRANFORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25910 CANAL RD P
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-5014
Mailing Address - Country:US
Mailing Address - Phone:251-981-7778
Mailing Address - Fax:251-981-7773
Practice Address - Street 1:25910 CANAL RD P
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-5014
Practice Address - Country:US
Practice Address - Phone:251-981-7778
Practice Address - Fax:251-981-7773
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist