Provider Demographics
NPI:1437545530
Name:CRABTREE, LISA (PHD, OTR/L)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:PHD, OTR/L
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:MEOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8000 YORK RD
Mailing Address - Street 2:TOWSON UNIVERSITY, IWB
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21252-0001
Mailing Address - Country:US
Mailing Address - Phone:410-704-7300
Mailing Address - Fax:410-704-6303
Practice Address - Street 1:1 OLYMPIC PL
Practice Address - Street 2:SUITE 200
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4104
Practice Address - Country:US
Practice Address - Phone:410-704-7300
Practice Address - Fax:410-704-6303
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05641225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist