Individual
MR. BENJAMIN A CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., OT
Contact information
Practice address
255 HEDGES ST, MANSFIELD, OH 44902-8611
(419) 774-4235
Mailing address
121 REDWOOD RD, MANSFIELD, OH 44907-2453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT - 5564
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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