Provider Demographics
NPI:1437611035
Name:CRAFT, ANNA YOST (COTA/L)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:YOST
Last Name:CRAFT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 ELYSIAN DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8126
Mailing Address - Country:US
Mailing Address - Phone:704-664-0431
Mailing Address - Fax:
Practice Address - Street 1:1101 MAPLE CARE LN
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-8406
Practice Address - Country:US
Practice Address - Phone:704-871-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8350224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant