Individual
MICKEYA SHANTREL CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6135 WILLIAMS RD, TALLAHASSEE, FL 32311-9107
(850) 294-9716
(888) 604-2089
Mailing address
151 TRAILS END RD, BAINBRIDGE, GA 39817-6736
(229) 220-5106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA20240
FL
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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