Provider Demographics
NPI:1275184327
Name:CRAM, DARIAN (OT)
Entity Type:Individual
Prefix:
First Name:DARIAN
Middle Name:
Last Name:CRAM
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 RIDGEMERE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-9288
Mailing Address - Country:US
Mailing Address - Phone:317-887-1600
Mailing Address - Fax:
Practice Address - Street 1:222 S 25TH ST APT 435
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-1866
Practice Address - Country:US
Practice Address - Phone:317-887-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31006622A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist