Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Diane Marie Craddock, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1063003531

Mrs. Diane Marie Craddock, COTA/L is an Occupational Therapy Assistant in Glenville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2021.

Licensed in
WV
In the registry since
2021
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

111 Fairground Rd
Glenville, WV 26351-1388
Phone: (304) 462-5718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence C2094 (WV)

Record details

NPI number1063003531
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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