Provider Demographics
NPI:1396951125
Name:KRAFFT, STEPHANIE C (OT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:C
Last Name:KRAFFT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 HIGHWAY 160 W
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8063
Mailing Address - Country:US
Mailing Address - Phone:800-779-4089
Mailing Address - Fax:803-746-4858
Practice Address - Street 1:1670 HIGHWAY 160 W
Practice Address - Street 2:SUITE 201
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8063
Practice Address - Country:US
Practice Address - Phone:800-779-4089
Practice Address - Fax:803-746-4858
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2951225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist