Individual
SHAUN CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L BS
Contact information
Practice address
601 OHIO 664, HOCKING VALLEY COMMUNITY HOSPITAL, LOGAN, OH 43138
(740) 380-8000
Mailing address
323 E 1ST AVE, STE 406, COLUMBUS, OH 43215-2185
(614) 208-6357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05326
OH
Other
Enumeration date
03/14/2014
Last updated
04/24/2017
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