Provider Demographics
NPI:1962664300
Name:DRAFTZ, CAROLYN (O T R/L, MBA)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:DRAFTZ
Suffix:
Gender:F
Credentials:O T R/L, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-2525
Mailing Address - Country:US
Mailing Address - Phone:856-461-8331
Mailing Address - Fax:856-461-9099
Practice Address - Street 1:2902 ROUTE 130
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-2525
Practice Address - Country:US
Practice Address - Phone:856-461-8331
Practice Address - Fax:856-461-9099
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00502800225XH1200X
PAOC001761225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand