Individual
ILONA CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(877) 252-4469
Mailing address
3347 GEORGE ANN CT, CLIO, MI 48420-1911
(810) 223-1690
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006073
MI
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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