Provider Demographics
NPI:1851499420
Name:CRANE, JANE BRADLEY (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:BRADLEY
Last Name:CRANE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:PINE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:31822-0374
Mailing Address - Country:US
Mailing Address - Phone:762-441-0333
Mailing Address - Fax:
Practice Address - Street 1:713 GARDENVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:PINE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:31822
Practice Address - Country:US
Practice Address - Phone:762-441-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist