Individual
MRS. TRACIE CROUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
827 NORVIEW AVE, NORFOLK, VA 23509-1540
(757) 355-5396
(757) 355-5397
Mailing address
827 NORVIEW AVE, NORFOLK, VA 23509-1540
(757) 355-5396
(757) 355-5397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0131001515
VA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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