Provider Demographics
NPI:1184051112
Name:CRAMER, JOSHUA DAVID (ATC, LAT, CSCS, ROT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DAVID
Last Name:CRAMER
Suffix:
Gender:M
Credentials:ATC, LAT, CSCS, ROT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SUSAN CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1401
Mailing Address - Country:US
Mailing Address - Phone:215-264-0373
Mailing Address - Fax:
Practice Address - Street 1:108 SUSAN CIR
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1401
Practice Address - Country:US
Practice Address - Phone:215-264-0373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0054622255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer