Individual
MRS. ELIZABETH CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 BLUE RIDGE CUT OFF STE 308, RAYTOWN, MO 64133-3730
(816) 737-9977
Mailing address
6220 BLUE RIDGE CUT OFF STE 308, RAYTOWN, MO 64133-3730
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001176
MO
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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