Provider Demographics
NPI:1548342991
Name:CRAWFORD, SUSAN TODD (OTR L)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:TODD
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 TRELLIS CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-8073
Mailing Address - Country:US
Mailing Address - Phone:803-957-9975
Mailing Address - Fax:
Practice Address - Street 1:811 W MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2500
Practice Address - Country:US
Practice Address - Phone:803-358-6115
Practice Address - Fax:803-358-6117
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC660225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist