| NPI | 1013491729 |
|---|---|
| Professional Name | SOPHIA ANNMARIE CRADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002315) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |