Doctor Name: | CAROLINE ANN KRACIUM |
NPI Number: | 1124496096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CTRS |
License Number: | 47135 |
Business Practice Address: | 8906 N 150 E Ossian, IN - 467779111 |
Business Phone Number: | 2604091332 |
Business Fax Number: | |
Mailing Address: | 8906 N 150 E, OSSIAN |
State: | IN |
Postal Code: | 467779111 |
Phone Number: | 2604091332 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2015 |
NPI Last Update Date: | 09/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225800000X |
License Number: | 47135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Recreation Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |