Individual
CHLOE ELAYNE CRITTENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2774 GATES RD, BASSFIELD, MS 39421-9035
(601) 249-7120
Mailing address
2774 GATES RD, BASSFIELD, MS 39421-9035
(601) 249-7120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-4010
MS
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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