Individual
KENNETH NERI CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 S EUCLID ST, ANAHEIM, CA 92802-2156
(714) 535-7264
Mailing address
711 N ROSE DR APT B309, PLACENTIA, CA 92870-7540
(714) 732-3716
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4182
CA
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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