Most Relevant Information
Provider Data
| NPI Number: | 1003213323 |
| Provider Name: | MIRA KRAFT OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 4001 |
Most Important Dates
| Enumeration Date: | 12/02/2014 |
| Last Updated: | 12/02/2014 |
Provider Practice Location
2230 ASHLEY CROSSING DR
CHARLESTON
SC
294145700
Practice Location Phone/Fax
| Phone: | 8437665228 |
| Fax: |
Provider Mailing Location
852 CENTERWOOD DR
CHARLESTON
SC
294123513
Provider Mailing Phone/Fax
| Phone: | 2673229229 |
| Fax: |