Provider Demographics
NPI:1235387853
Name:CRAMER, BRENT RAWLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:RAWLE
Last Name:CRAMER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 BURROUGHS RD
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-2321
Mailing Address - Country:US
Mailing Address - Phone:865-982-6265
Mailing Address - Fax:
Practice Address - Street 1:849 BURROUGHS RD
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-2321
Practice Address - Country:US
Practice Address - Phone:865-982-6265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000001356225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist