Provider Demographics
NPI:1548681836
Name:MERLE J CRAWFORD, MS OTR/L, LLC
Entity type:Organization
Organization Name:MERLE J CRAWFORD, MS OTR/L, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:717-608-3897
Mailing Address - Street 1:990 CARTER CV
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8965
Mailing Address - Country:US
Mailing Address - Phone:717-608-3897
Mailing Address - Fax:717-583-2094
Practice Address - Street 1:990 CARTER CV
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8965
Practice Address - Country:US
Practice Address - Phone:717-608-3897
Practice Address - Fax:717-583-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC003474L252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency