Individual
KAREN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHT
Contact information
Practice address
1700 ADAMS AVENUE, STE 103, COSTA MESA, CA 92626
(714) 556-2288
(714) 435-1745
Mailing address
1700 ADAMS AVENUE, STE 103, COSTA MESA, CA 92626
(714) 556-2288
(714) 435-1745
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT6273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A007
TRICARE
CA
01
—
OT0062730
BLUE SHIELD
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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