Most Relevant Information
Provider Data
| NPI Number: | 1003505447 |
| Provider Name: | JARED MCCRACKEN MOT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2023 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
73 JEFFERSON CT
ZION CROSSROADS
VA
229429602
Practice Location Phone/Fax
| Phone: | 5408329012 |
| Fax: |
Provider Mailing Location
PO BOX 412307
BOSTON
MA
022412307
Provider Mailing Phone/Fax
| Phone: | 8888304125 |
| Fax: |