Individual
MRS. ROSE ANN CRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Mailing address
1218 2ND ST N, FARGO, ND 58102-2723
(701) 610-4555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4345-026
WI
Other
Enumeration date
06/01/2007
Last updated
11/26/2012
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