Individual
MRS. LYNNE MARIE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1073774154
AZ
224Z00000X
Occupational Therapy Assistant
Primary
4041
AZ
Other
Enumeration date
06/20/2008
Last updated
04/29/2011
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