Provider Demographics
NPI:1194036004
Name:KRATT, ANDREW T (MS OTR/L)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:T
Last Name:KRATT
Suffix:
Gender:M
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5836 BAYNEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-1554
Mailing Address - Country:US
Mailing Address - Phone:757-567-1221
Mailing Address - Fax:
Practice Address - Street 1:845 FIRST COLONIAL RD
Practice Address - Street 2:APT 119- GENESIS REHAB SERVICES
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6160
Practice Address - Country:US
Practice Address - Phone:757-321-9292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004555225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist