Individual
MRS. ELAINE R CROUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8199 E SENECA TPKE, MANLIUS, NY 13104-2101
(315) 692-1203
Mailing address
41 DONOVAN DR, OSWEGO, NY 13126-5617
(315) 343-3116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
016287-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
016287-1
NY
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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