Individual
TERESA ANN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
225 W MAIN ST, SHELBY, OH 44875-1412
(419) 347-1266
Mailing address
PO BOX 95, NEW LONDON, OH 44851-0095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04726
OH
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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