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Individual

WILLIAM SCOTT CRIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4959958-4201
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D5548
UT
Enumeration date
11/26/2007
Last updated
11/26/2007
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