Provider Demographics
NPI:1760831192
Name:CRAMER, ABBEY RENEE (DPT)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:RENEE
Last Name:CRAMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:RENEE
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:824 S HURON ST
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-2210
Mailing Address - Country:US
Mailing Address - Phone:231-627-4347
Mailing Address - Fax:
Practice Address - Street 1:824 S HURON ST
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-2210
Practice Address - Country:US
Practice Address - Phone:231-627-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501017708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist