Provider Demographics
NPI:1205650876
Name:CROUSSET SANTOS, CINTHIA MERCEDES (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:CINTHIA
Middle Name:MERCEDES
Last Name:CROUSSET SANTOS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 LIFFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-1232
Mailing Address - Country:US
Mailing Address - Phone:267-632-2038
Mailing Address - Fax:
Practice Address - Street 1:1010 LIFFORD RD
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-1232
Practice Address - Country:US
Practice Address - Phone:267-632-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020278225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist