Individual
MS. COLLETTE THERESE CROSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
90 LINDALL ST, DANVERS, MA 01923-2125
(978) 777-3740
Mailing address
5 BECKFORD ST, SALEM, MA 01970-3205
(978) 777-3740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1206
MA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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